DENTAL TARIFFS - MEDiPOS20181122112630 AM) MEDiPOS... · 8109 Infection control/barrier techniques Infection Control 64 Orthodontics R 18.54 8109 Infection control/barrier techniques

Page 1 of 109

DENTAL TARIFFS

Effective: 1 January 2019

TARIFF CODE TARIFF DESCRIPTION TARIFF DESCRIPTION...CONTINUED DISCIPLINE CODE DISCIPLINE DESCRIPTION TARIFF AMOUNT

200 Medicine 94 Prosthodontic R 0.00

200 Medicine 64 Orthodontics R 0.00

200 Medicine 62 Maxillo-facial and Oral Surgery R 0.00

200 Medicine 54 General Dental Practice R 0.00

8101 Full examination and charting and treatment planning

95 Dental therapy R 107.19

8101 Full examination and charting and treatment planning

54 General Dental Practice R 205.96

8102 Comprehensive Consultation 95 Dental therapy R 173.03

8102 Comprehensive Consultation 54 General Dental Practice R 332.59

8104 Consultation for a specific problem not requiring

full mouth examination charting and ... 95 Dental therapy R 83.49

8104 Consultation for a specific problem not requiring

full mouth examination charting and ... 54 General Dental Practice R 100.00

8106 Special report Provision of a written treatment plan and quotation

94 Prosthodontic R 211.46


92 Periodontics R 211.46


64 Orthodontics R 211.46


62 Maxillo-facial and Oral Surgery R 211.46



8107 Intraoral radiograph - periapical Intra-oral radiographs 95 Dental therapy R 80.45

8107 Intraoral radiograph - periapical Intra-oral radiographs 94 Prosthodontic R 83.37

8107 Intraoral radiograph - periapical Intra-oral radiographs 92 Periodontics R 83.37

8107 Intraoral radiograph - periapical Intra-oral radiographs 64 Orthodontics R 83.37

Page 2 of 109

8107 Intraoral radiograph - periapical Intra-oral radiographs 62 Maxillo-facial and Oral Surgery R 83.37

8107 Intraoral radiograph - periapical Intra-oral radiographs 54 General Dental Practice R 83.37

8108 Intraoral radiographs - complete series Full mouth intra-oral x-rays (maximum) 95 Dental therapy R 644.95

8108 Intraoral radiographs - complete series Full mouth intra-oral x-rays (maximum) 94 Prosthodontic R 645.29

8108 Intraoral radiographs - complete series Full mouth intra-oral x-rays (maximum) 92 Periodontics R 645.29

8108 Intraoral radiographs - complete series Full mouth intra-oral x-rays (maximum) 64 Orthodontics R 645.29

8108 Intraoral radiographs - complete series Full mouth intra-oral x-rays (maximum) 62 Maxillo-facial and Oral Surgery R 645.29

8108 Intraoral radiographs - complete series Full mouth intra-oral x-rays (maximum) 54 General Dental Practice R 645.29

8109 Infection control/barrier techniques Infection Control 95 Dental therapy R 18.54

8109 Infection control/barrier techniques Infection Control 94 Prosthodontic R 18.54

8109 Infection control/barrier techniques Infection Control 92 Periodontics R 18.54

8109 Infection control/barrier techniques Infection Control 64 Orthodontics R 18.54

8109 Infection control/barrier techniques Infection Control 62 Maxillo-facial and Oral Surgery R 18.54

8109 Infection control/barrier techniques Infection Control 54 General Dental Practice R 18.54

8110 Prov. of sterilised and wrapped instrumentation












8112 Intraoral radiograph-bitewing 95 Dental therapy R 80.45

8112 Intraoral radiograph-bitewing 94 Prosthodontic R 83.37

8112 Intraoral radiograph-bitewing 92 Periodontics R 83.37

8112 Intraoral radiograph-bitewing 64 Orthodontics R 83.37

8112 Intraoral radiograph-bitewing 62 Maxillo-facial and Oral Surgery R 83.37

8112 Intraoral radiograph-bitewing 54 General Dental Practice R 83.37

8113 Intraoral radiograph - occlusal Occlusal radiographs 95 Dental therapy R 138.32

8113 Intraoral radiograph - occlusal Occlusal radiographs 94 Prosthodontic R 143.60

Page 3 of 109

8113 Intraoral radiograph - occlusal Occlusal radiographs 92 Periodontics R 143.60

8113 Intraoral radiograph - occlusal Occlusal radiographs 64 Orthodontics R 143.60

8113 Intraoral radiograph - occlusal Occlusal radiographs 62 Maxillo-facial and Oral Surgery R 143.60

8113 Intraoral radiograph - occlusal Occlusal radiographs 54 General Dental Practice R 143.60

8114 Hand-wrist Radiograph 94 Prosthodontic R 333.37

8114 Hand-wrist Radiograph 92 Periodontics R 333.37

8114 Hand-wrist Radiograph 64 Orthodontics R 333.37

8114 Hand-wrist Radiograph 62 Maxillo-facial and Oral Surgery R 333.37

8114 Hand-wrist Radiograph 54 General Dental Practice R 333.37

8115 Extraoral radiograph - panoramic Extra-oral radiograph - per film 95 Dental therapy R 321.47

8115 Extraoral radiograph - panoramic Extra-oral radiograph - per film 94 Prosthodontic R 333.37

8115 Extraoral radiograph - panoramic Extra-oral radiograph - per film 92 Periodontics R 333.37

8115 Extraoral radiograph - panoramic Extra-oral radiograph - per film 64 Orthodontics R 333.37

8115 Extraoral radiograph - panoramic Extra-oral radiograph - per film 62 Maxillo-facial and Oral Surgery R 333.37

8115 Extraoral radiograph - panoramic Extra-oral radiograph - per film 54 General Dental Practice R 333.37

8116 Extraoral radiograph-cephalometric Maximum for treatment plan (item 8115) 95 Dental therapy R 321.47

8116 Extraoral radiograph-cephalometric Maximum for treatment plan (item 8115) 94 Prosthodontic R 333.37

8116 Extraoral radiograph-cephalometric Maximum for treatment plan (item 8115) 92 Periodontics R 333.37

8116 Extraoral radiograph-cephalometric Maximum for treatment plan (item 8115) 64 Orthodontics R 333.37

8116 Extraoral radiograph-cephalometric Maximum for treatment plan (item 8115) 62 Maxillo-facial and Oral Surgery R 333.37

8116 Extraoral radiograph-cephalometric Maximum for treatment plan (item 8115) 54 General Dental Practice R 333.37

8117 Diagnostic models Study models - unmounted or mounted on a hinge/a










8118 Extraoral radiograph-skull/facial bone 94 Prosthodontic R 333.37

8118 Extraoral radiograph-skull/facial bone 92 Periodontics R 333.37

8118 Extraoral radiograph-skull/facial bone 64 Orthodontics R 333.37

Page 4 of 109

8118 Extraoral radiograph-skull/facial bone 62 Maxillo-facial and Oral Surgery R 333.37

8118 Extraoral radiograph-skull/facial bone 54 General Dental Practice R 333.37

8119 Diagnostic models mounted Study models-mounted on a moveable condyle artic










8121 Oral and/or facial image (digital/conventional) Photographs-per photograph(diagnostic 95 Dental therapy R 86.07

8121 Oral and/or facial image (digital/conventional) Photographs-per photograph(diagnostic 94 Prosthodontic R 89.55

8121 Oral and/or facial image (digital/conventional) Photographs-per photograph(diagnostic 92 Periodontics R 89.55

8121 Oral and/or facial image (digital/conventional) Photographs-per photograph(diagnostic 64 Orthodontics R 89.55

8121 Oral and/or facial image (digital/conventional) Photographs-per photograph(diagnostic 62 Maxillo-facial and Oral Surgery R 89.55

8121 Oral and/or facial image (digital/conventional) Photographs-per photograph(diagnostic 54 General Dental Practice R 89.55

8123 Caries susceptibility tests (By Arrangement) Caries susceptibility tests 54 General Dental Practice R 93.14

8124 Pulp vitality test 54 General Dental Practice R 24.60

8129 Office/hospital visit after regularly scheduled hours

Add. fee for emergency treatment outside normal








8131 Emergency dental treatment Emerg. treatment where no other treatment item i






8132 Root canal therapy -gross pulpal debridement 54 General Dental Practice R 206.74

8133 Recementing of inlay- crown or bridge per unit.


8133 Recementing of inlay-crown or bridge p/unit. 54 General Dental Practice R 126.41

Page 5 of 109

8135 Removal of inlay or crown per unit. 94 Prosthodontic R 251.57

8135 Removal of inlay or crown per unit. 54 General Dental Practice R 251.57

8136 Access through a prosthetic crown or inlay 54 General Dental Practice R 112.58

8137 Temporary crown placed as an emergency procedure


8137 Temporary crown placed as an emergency procedure


8138 Remove retention post (prefabricated or cast) Pre-formed metal crown as an emergency procedure


8140 House/extended care facility/hospital call Treatment at a venue other than the surgery






8141 Inhale sedation/electronic analgesia - 1st 15 min


8143 Each additional 15 minutes. 54 General Dental Practice R 47.87

8144 Intravenous sedation. 54 General Dental Practice R 55.50

8145 Local anaesthetic per visit 95 Dental therapy R 18.09

8145 Local anaesthetic per visit 94 Prosthodontic R 80.45

8145 Local anaesthetic per visit 92 Periodontics R 80.45

8145 Local anaesthetic per visit 62 Maxillo-facial and Oral Surgery R 80.45

8145 Local anaesthetic per visit 54 General Dental Practice R 80.45

8147 Use of own monitoring equipment in rooms for price

dures performed under intravenous sedation


8151 Oral hygiene not to be billed together with 8153

Oral hygiene instructions 95 Dental therapy R 84.27


Oral hygiene instructions 94 Prosthodontic R 253.15


Oral hygiene instructions 92 Periodontics R 253.15


Oral hygiene instructions 54 General Dental Practice R 126.41

8153 OH instruction each additional visit not with 8151

Follow-up visit for re-evaluation of oral hygiene


Page 6 of 109







8155 Polishing - complete dentition Polishing only 94 Prosthodontic R 128.09

8155 Polishing - complete dentition Polishing only 92 Periodontics R 176.41

8155 Polishing - complete dentition Polishing only 54 General Dental Practice R 128.09

8157 Re-burnishing and polishing of restoration comp dent

Refurnishing/polishing of restorations. 54 General Dental Practice R 128.09

8158 Enamel micro abrasion 54 General Dental Practice R 117.08

8159 Prophylaxis - complete dentition Scaling and polishing 94 Prosthodontic R 251.69

8159 Prophylaxis - complete dentition Scaling and polishing 92 Periodontics R 354.61

8159 Prophylaxis - complete dentition Scaling and polishing 54 General Dental Practice R 251.69

8161 Topical application of fluoride-child 94 Prosthodontic R 128.09

8161 Topical application of fluoride-child 92 Periodontics R 128.09

8161 Topical application of fluoride-child 54 General Dental Practice R 128.09

8162 Topical application of fluoride - adult Topical application of fluoride-adult (12 years






8163 Dental sealant Fissure sealant: per tooth 94 Prosthodontic R 84.61

8163 Dental sealant Fissure sealant: per tooth 54 General Dental Practice R 84.49

8165 Sedative filling Placement of temporary filling Sedative filling 54 General Dental Practice R 128.09

8166 Application of desensitising resin per tooth 54 General Dental Practice R 84.61

8167 Application of desensitising medicament Treatment of hypersensitive dentine 54 General Dental Practice R 98.32

8169 Occlusal guard Bite plate or occlusal guards 54 General Dental Practice R 492.02

8172 Cost of orthotic device 94 Prosthodontic R 0.00

8172 Cost of orthotic device 92 Periodontics R 0.00

8172 Cost of orthotic device 64 Orthodontics R 0.00

8172 Cost of orthotic device 62 Maxillo-facial and Oral Surgery R 0.00

8172 Cost of orthotic device 54 General Dental Practice R 0.00

8173 Space maintainer fixed per abutment Fixed space maintainers per abutment unit 64 Orthodontics R 237.52

Page 7 of 109

8173 Space maintainer fixed per abutment Fixed space maintainers per abutment unit 54 General Dental Practice R 237.52

8175 Space maintainer removable Removable space maintainer (all inclusive fee).


8176 Periodontal Screening 54 General Dental Practice R 175.50

8177 Oral hygiene instruction for the periodontally compromised patient. 54 General Dental Practice R 193.94

8178 OH instruction each add visit periodontally comp pat

Oral hygiene evaluation for the periodontally


8179 Polishing complete dentition periodontally comp pat

Plaque removal for the periodontally compromised


8180 Prophylaxis complete dentition periodontally comp pa

Scaling & polishing for period. compromised pati


8183 Intra-muscular or sub-cut. injection therapy. 54 General Dental Practice R 56.30

8189 Re-examination existing condition-GDP Biopsy of bone: Needle biopsy 54 General Dental Practice R 101.12

8190 Consultation-GDP 54 General Dental Practice R 208.54

8192 Appositioning (suturing) of soft tissue injuries 54 General Dental Practice R 631.35

8201 Extractions: Single tooth/Proprietary homeopathic

medicine-All forms(Homeopath) 62 Maxillo-facial and Oral Surgery R 192.02

8201 Extractions: Single tooth/Proprietary homeopathic

medicine-All forms(Homeopath) 54 General Dental Practice R 128.09

8202 Each additional tooth in the same quadrant/ Non-proprietary homeopathic meds(tablets & caps)


8202 Each additional tooth in the same quadrant/ Non-proprietary homeopathic meds(tablets & caps)


8213 Surgical removal of residual roots (cutting proceed)

(incl cutting of soft tissue & bone etc) 54 General Dental Practice R 553.26

8214 Surg. removal of residual roots: each subseq. tooth


8220 Use of suture provided by practitioner (see note 4)






8231 Full upper and lower dentures incl.soft/metal bases

94 Prosthodontic R 4 311.93

8231 Full upper and lower dentures incl.soft/metal bases

54 General Dental Practice R 2 065.52

Page 8 of 109

8232 Full upper or lower dentures incl. soft/metal bases


8232 Full upper or lower dentures incl. soft/metal bases


8233 Partial denture: One tooth. 54 General Dental Practice R 592.02

8234 Partial denture: Two teeth. 54 General Dental Practice R 592.02

8235 Partial denture: Three teeth. 54 General Dental Practice R 885.84

8236 Partial denture: Four teeth 54 General Dental Practice R 885.84

8237 Partial denture: Five teeth. 54 General Dental Practice R 885.84

8238 Partial denture: Six teeth. 54 General Dental Practice R 1 174.95

8239 Partial denture: Seven teeth. 54 General Dental Practice R 1 174.95

8240 Partial denture: Eight teeth. 54 General Dental Practice R 1 174.95

8241 Partial denture: Nine or more teeth. 54 General Dental Practice R 1 174.95

8244 Immediate Denture - maxillary 94 Prosthodontic R 1 910.00

8244 Immediate Denture - maxillary 54 General Dental Practice R 1 273.16

8245 Immediate Denture - mandibular 94 Prosthodontic R 1 886.97

8245 Immediate Denture - mandibular 54 General Dental Practice R 1 257.87

8251 Cast rest or clasp gold per rest or clasp. 94 Prosthodontic R 0.00

8251 Cast rest or clasp gold per rest or clasp. 92 Periodontics R 0.00

8251 Cast rest or clasp gold per rest or clasp. 54 General Dental Practice R 115.85

8253 Wrought gold clasp or rest per clasp or rest 94 Prosthodontic R 0.00

8253 Wrought gold clasp or rest per clasp or rest 92 Periodontics R 0.00

8253 Wrought gold clasp or rest per clasp or rest 54 General Dental Practice R 115.85

8255 Stainless steel clasp or rest per clasp or rest. 94 Prosthodontic R 0.00

8255 Stainless steel clasp or rest per clasp or rest. 92 Periodontics R 0.00

8255 Stainless steel clasp or rest per clasp or rest. 54 General Dental Practice R 121.79

8257 Lingual or palatal bar. 94 Prosthodontic R 0.00

8257 Lingual or palatal bar. 92 Periodontics R 0.00

8257 Lingual or palatal bar. 54 General Dental Practice R 143.60

8259 Reline of denture (laboratory) 94 Prosthodontic R 688.43

8259 Reline of denture (laboratory) 92 Periodontics R 476.97

8259 Reline of denture (laboratory) 54 General Dental Practice R 476.97

8261 Remodelling per denture. 94 Prosthodontic R 765.62

Page 9 of 109

8261 Remodelling per denture. 92 Periodontics R 765.62

8261 Remodelling per denture. 54 General Dental Practice R 765.62

8263 Reline of denture in self curing acrylic (intra-oral)






8265 Tissues conditioning per arch including self-cure r

Tissue conditioner 94 Prosthodontic R 253.15


Tissue conditioner 92 Periodontics R 197.64


Tissue conditioner 62 Maxillo-facial and Oral Surgery R 197.64


Tissue conditioner 54 General Dental Practice R 197.64

8267 Reline complete or partial denture (laboratory)






8269 Repair of denture or other intra-oral appl. 94 Prosthodontic R 172.81

8269 Repair of denture or other intra-oral appl. 92 Periodontics R 0.00

8269 Repair of denture or other intra-oral appl. 54 General Dental Practice R 160.56

8270 Add clasp to existing partial denture 54 General Dental Practice R 115.85

8271 Additional tooth to existing partial denture 54 General Dental Practice R 115.85

8273 Impression to repair or modify a denture or other

Add fee for impression for 8269/8270/8271/8846








8275 Adjustment of denture 94 Prosthodontic R 92.58

8275 Adjustment of denture 92 Periodontics R 92.58

8275 Adjustment of denture 54 General Dental Practice R 92.58

Page 10 of 109

8281 Metal base to partial denture. 94 Prosthodontic R 1 364.61

8281 Metal base to partial denture. 92 Periodontics R 1 364.61

8281 Metal base to partial denture. 54 General Dental Practice R 1 364.61

8301 Direct pulp capping/Consultation Duration 1-15 mins






8303 Indirect pulp capping/Consultation Duration 31-45 m








8304 Rubber dam per arch Rubber dam - per arch/Consultation Duration 46 -






8306 Cost of Mineral Trioxide Aggregate 94 Prosthodontic R 0.00

8306 Cost of Mineral Trioxide Aggregate 92 Periodontics R 0.00

8306 Cost of Mineral Trioxide Aggregate 54 General Dental Practice R 0.00

8307 Amputation of pulp (pulpotomy) 94 Prosthodontic R 165.17

8307 Amputation of pulp (pulpotomy) 92 Periodontics R 165.17

8307 Amputation of pulp (pulpotomy) 54 General Dental Practice R 165.17

8325 Internal bleaching - per tooth Bleaching of non-vital teeth per tooth - 1st vis






8327 Internal bleaching - each additional visit Each additional visit for non-vital 94 Prosthodontic R 215.39

Page 11 of 109

bleaching.

8327 Internal bleaching - each additional visit Each additional visit for non-vital bleaching.


8327 Internal bleaching - each additional visit Each additional visit for non-vital bleaching.


8328 Each add. canal - anteriors and premolars 94 Prosthodontic R 0.00

8328 Each add. canal - anteriors and premolars 92 Periodontics R 0.00

8328 Each add. canal - anteriors and premolars 54 General Dental Practice R 234.83

8329 Each additional canal - anteriors and premolars






8330 Removal of fractured post or instrument 94 Prosthodontic R 165.17

8330 Removal of fractured post or instrument 92 Periodontics R 165.17

8330 Removal of fractured post or instrument 54 General Dental Practice R 165.17

8332 Anterior teeth inclusive of premolars - per visit






8333 Multi-canal tooth - per visit 94 Prosthodontic R 177.41

8333 Multi-canal tooth - per visit 92 Periodontics R 0.00

8333 Multi-canal tooth - per visit 54 General Dental Practice R 177.41

8334 Re-preparation of previously obturated canal per canal 94 Prosthodontic R 225.40

8334 Re-preparation of previously obturated canal per canal 92 Periodontics R 186.86

8334 Re-preparation of previously obturated canal per canal 54 General Dental Practice R 186.86

8335 First canal - anteriors and premolars 94 Prosthodontic R 0.00

8335 First canal - anteriors and premolars 92 Periodontics R 0.00

8335 First canal - anteriors and premolars 54 General Dental Practice R 574.04

8336 First canal - molars 94 Prosthodontic R 0.00

8336 First canal - molars 92 Periodontics R 0.00

Page 12 of 109

8336 First canal - molars 54 General Dental Practice R 790.23

8337 Each additional canal - molars 94 Prosthodontic R 0.00

8337 Each additional canal - molars 92 Periodontics R 0.00

8337 Each additional canal - molars 54 General Dental Practice R 234.83

8338 First canal - anteriors and premolars 94 Prosthodontic R 0.00

8338 First canal - anteriors and premolars 92 Periodontics R 0.00

8338 First canal - anteriors and premolars 54 General Dental Practice R 878.21

8339 First canal - molars 94 Prosthodontic R 0.00

8339 First canal - molars 92 Periodontics R 0.00

8339 First canal - molars 54 General Dental Practice R 1 207.09

8340 Each additional canal - molars 94 Prosthodontic R 0.00

8340 Each additional canal - molars 92 Periodontics R 0.00

8340 Each additional canal - molars 54 General Dental Practice R 293.38

8341 Plastic restorations: Amalgam - one surface 95 Dental therapy R 219.55

8341 Plastic restorations: Amalgam - one surface 94 Prosthodontic R 251.57

8341 Plastic restorations: Amalgam - one surface 92 Periodontics R 251.57

8341 Plastic restorations: Amalgam - one surface 54 General Dental Practice R 251.57

8342 Plastic restorations: Amalgam - two surfaces 95 Dental therapy R 270.67

8342 Plastic restorations: Amalgam - two surfaces 94 Prosthodontic R 310.11

8342 Plastic restorations: Amalgam - two surfaces 92 Periodontics R 310.11

8342 Plastic restorations: Amalgam - two surfaces 54 General Dental Practice R 310.11

8343 Plastic restorations: Amalgam - three surfaces 95 Dental therapy R 329.89

8343 Plastic restorations: Amalgam - three surfaces 94 Prosthodontic R 378.09

8343 Plastic restorations: Amalgam - three surfaces 92 Periodontics R 378.09

8343 Plastic restorations: Amalgam - three surfaces 54 General Dental Practice R 378.09

8344 Plastic restoration: Amalgam - four or more surfaces








Page 13 of 109

8345 Preformed post retention per post 94 Prosthodontic R 248.65

8345 Preformed post retention per post 92 Periodontics R 248.65

8345 Preformed post retention per post 54 General Dental Practice R 248.65

8347 Pin retention for restoration 94 Prosthodontic R 124.94

8347 Pin retention for restoration 92 Periodontics R 124.94

8347 Pin retention for restoration 54 General Dental Practice R 124.94

8348 Pin retention for restoration - each additional pin






8349 Carving a plastic restoration to accommodate an

existing removable prosthesis 94 Prosthodontic R 0.00


existing removable prosthesis 92 Periodontics R 0.00


existing removable prosthesis 54 General Dental Practice R 51.01

8350 Resin crown-anterior primary tooth (direct) 95 Dental therapy R 478.88

8350 Resin crown-anterior primary tooth (direct) 94 Prosthodontic R 549.00

8350 Resin crown-anterior primary tooth (direct) 92 Periodontics R 549.00

8350 Resin crown-anterior primary tooth (direct) 54 General Dental Practice R 549.00

8351 Acid etch restoration: One surface. 95 Dental therapy R 265.73

8351 Acid etch restoration: One surface. 94 Prosthodontic R 276.18

8351 Acid etch restoration: One surface. 92 Periodontics R 276.18

8351 Acid etch restoration: One surface. 54 General Dental Practice R 276.18

8352 Resin - two surfaces - anterior 95 Dental therapy R 333.93

8352 Resin - two surfaces - anterior 94 Prosthodontic R 347.31

8352 Resin - two surfaces - anterior 92 Periodontics R 347.31

8352 Resin - two surfaces - anterior 54 General Dental Practice R 347.31

8353 Acid etch restoration: Three surfaces. 95 Dental therapy R 399.10

8353 Acid etch restoration: Three surfaces. 94 Prosthodontic R 415.17

8353 Acid etch restoration: Three surfaces. 92 Periodontics R 415.17

8353 Acid etch restoration: Three surfaces. 54 General Dental Practice R 415.17

Page 14 of 109

8354 Acid etch restoration: more than three surfaces.








8355 Composite veneers (direct) - No 8099. 94 Prosthodontic R 438.54

8355 Composite veneers (direct) - No 8099. 92 Periodontics R 438.54

8355 Composite veneers (direct) - No 8099. 54 General Dental Practice R 438.54

8357 Preformed metal crown. 94 Prosthodontic R 257.75

8357 Preformed metal crown. 92 Periodontics R 257.75

8357 Preformed metal crown. 54 General Dental Practice R 257.75

8361 Metal inlays on posterior teeth - one surface 94 Prosthodontic R 757.87

8361 Metal inlays on posterior teeth - one surface 92 Periodontics R 0.00

8361 Metal inlays on posterior teeth - one surface 54 General Dental Practice R 384.15

8362 Metal inlays on posterior teeth: Two surfaces 94 Prosthodontic R 1 098.88

8362 Metal inlays on posterior teeth: Two surfaces 92 Periodontics R 0.00

8362 Metal inlays on posterior teeth: Two surfaces 54 General Dental Practice R 561.92

8363 Metal inlays on posterior teeth: Three surfaces






8364 Metal inlays on posterior teeth: Four or more surface






8366 Pin retention as part of cast restoration; irresp




Page 15 of 109



8367 Resin- one surface posterior One surface on premolar or molar/Een vlak op voo








8368 Two surfaces on premolar or molar/Twee vlakke








8369 Three surfaces on premolar or molar/Drie vlakke








8370 Four or more surfaces on premolar of molar 95 Dental therapy R 462.92

8370 Four or more surfaces on premolar of molar 94 Prosthodontic R 481.46

8370 Four or more surfaces on premolar of molar 92 Periodontics R 481.46

8370 Four or more surfaces on premolar of molar 54 General Dental Practice R 481.46

8371 Ceramic/Resin bonded inlays/veneers - one surface.


8371 Ceramic/Resin bonded inlays/veneers - one surface.


8372 Ceramic/Resin bonded inlays/veneers - 2 surfaces.


8372 Ceramic/Resin bonded inlays/veneers - 2 54 General Dental Practice R 683.71

Page 16 of 109

surfaces.

8373 Ceramic/Resin bonded inlays/veneers - 3 surfaces/


8373 Ceramic/Resin bonded inlays/veneers - 3 surfaces/


8374 Ceramic and/or resin inlays/veneers - 4 surfaces


8374 Ceramic and/or resin inlays/veneers - 4 surfaces


8375 Prefabricated resin crown Ceramic/Resin bonded inlays/veneers - 5 surfaces


8375 Prefabricated resin crown Ceramic/Resin bonded inlays/veneers - 5 surfaces


8376 Prefabricated post and core in addition to crown


8376 Prefabricated post and core in addition to crown


8379 Cost of posts - noble metals only 94 Prosthodontic R 95.85

8379 Cost of posts - noble metals only 54 General Dental Practice R 95.85

8381 Inlay-resin-one surface 94 Prosthodontic R 915.29

8381 Inlay-resin-one surface 54 General Dental Practice R 463.15

8382 Inlay/Onlay-resin-two surfaces 94 Prosthodontic R 1 318.21

8382 Inlay/Onlay-resin-two surfaces 54 General Dental Practice R 683.71

8383 Inlay/onlay-resin-three surfaces 94 Prosthodontic R 2 048.21

8383 Inlay/onlay-resin-three surfaces 54 General Dental Practice R 1 126.85

8384 Inlay/onlay-resin-four or more surfaces 94 Prosthodontic R 2 048.21

8384 Inlay/onlay-resin-four or more surfaces 54 General Dental Practice R 1 364.61

8391 Single post (thimble or coping). 94 Prosthodontic R 290.33

8391 Single post (thimble or coping). 54 General Dental Practice R 290.33

8392 Cast post (each additional) 54 General Dental Practice R 172.81

8397 Cast core with pins (not with 8137). 94 Prosthodontic R 602.13

8397 Cast core with pins (not with 8137). 54 General Dental Practice R 463.15

8398 Core build-up including any pins 94 Prosthodontic R 561.92

8398 Core build-up including any pins 54 General Dental Practice R 561.92

Page 17 of 109

8401 Cast full crown 94 Prosthodontic R 2 126.86

8401 Cast full crown 92 Periodontics R 0.00

8401 Cast full crown 54 General Dental Practice R 1 444.73

8403 Cast three-quarter crown 94 Prosthodontic R 2 126.86

8403 Cast three-quarter crown 92 Periodontics R 0.00

8403 Cast three-quarter crown 54 General Dental Practice R 1 444.73

8404 Crown 3/4 porcelain/ceramic 94 Prosthodontic R 2 048.21

8404 Crown 3/4 porcelain/ceramic 92 Periodontics R 0.00

8404 Crown 3/4 porcelain/ceramic 54 General Dental Practice R 1 364.50

8405 Acrylic jacket crown. 94 Prosthodontic R 2 048.21

8405 Acrylic jacket crown. 92 Periodontics R 0.00

8405 Acrylic jacket crown. 54 General Dental Practice R 1 364.50

8407 Acrylic veneered crown. 94 Prosthodontic R 2 126.86

8407 Acrylic veneered crown. 92 Periodontics R 0.00

8407 Acrylic veneered crown. 54 General Dental Practice R 1 444.73

8409 Porcelain jacket crown. 94 Prosthodontic R 2 126.86

8409 Porcelain jacket crown. 92 Periodontics R 0.00

8409 Porcelain jacket crown. 54 General Dental Practice R 1 444.73

8410 Provisional Crown 94 Prosthodontic R 421.35

8410 Provisional Crown 92 Periodontics R 280.78

8410 Provisional Crown 62 Maxillo-facial and Oral Surgery R 0.00

8410 Provisional Crown 54 General Dental Practice R 280.78

8411 Porcelain veneered crown 94 Prosthodontic R 2 126.86

8411 Porcelain veneered crown 92 Periodontics R 0.00

8411 Porcelain veneered crown 54 General Dental Practice R 1 444.73

8413 Facing replacement (not with 8137). 94 Prosthodontic R 280.78

8413 Facing replacement (not with 8137). 92 Periodontics R 0.00

8413 Facing replacement (not with 8137). 54 General Dental Practice R 280.78

8414 Additional Fee for Crown with existing clasp 94 Prosthodontic R 83.37

8414 Additional Fee for Crown with existing clasp 92 Periodontics R 0.00

8414 Additional Fee for Crown with existing clasp 54 General Dental Practice R 83.37

8415 Pontic-porcelain/ceramic Removal of inlays and crowns (per unit) & 94 Prosthodontic R 0.00

Page 18 of 109

bridge

8415 Pontic-porcelain/ceramic Removal of inlays and crowns (per unit) & bridge


8415 Pontic-porcelain/ceramic Removal of inlays and crowns (per unit) & bridge


8416 Pontic-cast metal 94 Prosthodontic R 0.00

8416 Pontic-cast metal 92 Periodontics R 0.00

8416 Pontic-cast metal 54 General Dental Practice R 936.86

8417 Pontic-resin with metal 94 Prosthodontic R 0.00

8417 Pontic-resin with metal 92 Periodontics R 0.00

8417 Pontic-resin with metal 54 General Dental Practice R 1 179.22

8418 Pontic-porcelain fused to metal 94 Prosthodontic R 0.00

8418 Pontic-porcelain fused to metal 92 Periodontics R 0.00

8418 Pontic-porcelain fused to metal 54 General Dental Practice R 1 179.22

8419 Provisional pontic 94 Prosthodontic R 421.35

8419 Provisional pontic 92 Periodontics R 0.00

8419 Provisional pontic 54 General Dental Practice R 280.78

8432 Inlay/onlay retainer - netal - two surfaces 94 Prosthodontic R 1 098.88

8432 Inlay/onlay retainer - netal - two surfaces 92 Periodontics R 0.00

8432 Inlay/onlay retainer - netal - two surfaces 54 General Dental Practice R 561.92

8433 Inlay/onlay retainer - metal - three surfaces 94 Prosthodontic R 1 704.06

8433 Inlay/onlay retainer - metal - three surfaces 92 Periodontics R 0.00

8433 Inlay/onlay retainer - metal - three surfaces 54 General Dental Practice R 936.86

8434 Inlay/onlay retainer - metal - four or more surfaces






8436 Inlay/onlay retainer - porcelain - two surfaces 94 Prosthodontic R 1 318.21

8436 Inlay/onlay retainer - porcelain - two surfaces 92 Periodontics R 0.00

8436 Inlay/onlay retainer - porcelain - two surfaces 54 General Dental Practice R 683.71

8437 Inlay/onlay retainer - porcelain - three surfaces


Page 19 of 109





8438 Inlay/onlay retainer - porcelain - four or more surfaces 94 Prosthodontic R 2 048.21

8438 Inlay/onlay retainer - porcelain - four or more surfaces 92 Periodontics R 0.00

8438 Inlay/onlay retainer - porcelain - four or more surfaces 54 General Dental Practice R 1 364.61

8441 Crown retainer - full cast metal 94 Prosthodontic R 2 126.86

8441 Crown retainer - full cast metal 92 Periodontics R 0.00

8441 Crown retainer - full cast metal 54 General Dental Practice R 1 444.73

8442 Crown retainer - 3/4 cast metal 94 Prosthodontic R 2 126.86

8442 Crown retainer - 3/4 cast metal 92 Periodontics R 0.00

8442 Crown retainer - 3/4 cast metal 54 General Dental Practice R 1 444.73

8443 Crow retainer - porcelain/ceramic 94 Prosthodontic R 2 126.86

8443 Crow retainer - porcelain/ceramic 92 Periodontics R 0.00

8443 Crow retainer - porcelain/ceramic 54 General Dental Practice R 1 444.73

8444 Crown retainer - 3/4 procelain/ceramic 94 Prosthodontic R 2 126.86

8444 Crown retainer - 3/4 procelain/ceramic 92 Periodontics R 0.00

8444 Crown retainer - 3/4 procelain/ceramic 54 General Dental Practice R 0.00

8445 Crown retainer - porcelain with metal 94 Prosthodontic R 2 126.86

8445 Crown retainer - porcelain with metal 92 Periodontics R 0.00

8445 Crown retainer - porcelain with metal 54 General Dental Practice R 1 444.73

8446 Crown retainer - resin with metal 94 Prosthodontic R 2 126.86

8446 Crown retainer - resin with metal 92 Periodontics R 0.00

8446 Crown retainer - resin with metal 54 General Dental Practice R 1 444.73

8447 Provisional crown retainer 94 Prosthodontic R 421.35

8447 Provisional crown retainer 92 Periodontics R 0.00

8447 Provisional crown retainer 54 General Dental Practice R 280.78

8499 The relevant MASA 54 General Dental Practice R 0.00

8501 Prosthodontic consultation. 94 Prosthodontic R 262.48

8503 Occlusal analysis on adjustable articulator. 94 Prosthodontic R 421.35

8503 Occlusal analysis on adjustable articulator. 54 General Dental Practice R 280.78

8505 Pantographic recording. 94 Prosthodontic R 611.24

Page 20 of 109

8505 Pantographic recording. 54 General Dental Practice R 407.53

8506 Extensive consultation-Prosthodontist "Detailed clinical examination records radiograp


8507 Examination/treatment planning 94 Prosthodontic R 421.35

8508 Electrognathographic recording. 94 Prosthodontic R 654.50

8508 Electrognathographic recording. 54 General Dental Practice R 436.30

8509 Electrognathographic recording with comp. analysis.


8509 Electrognathographic recording with comp. analysis.


8514 Recement bridge 94 Prosthodontic R 160.56

8514 Recement bridge 54 General Dental Practice R 126.41

8515 Recementing of crowns/inlays/bridges per abutment.


8516 Remove bridge 94 Prosthodontic R 251.57

8516 Remove bridge 54 General Dental Practice R 251.57

8517 Re-implantation of a tooth. 94 Prosthodontic R 438.54

8517 Re-implantation of a tooth. 54 General Dental Practice R 292.25

8518 Repair bridge 94 Prosthodontic R 280.78

8518 Repair bridge 54 General Dental Practice R 280.78

8533 Implant supported removable complete overdenture


8533 Implant supported removable complete overdenture


8534 Implant supported removable partial overdenture


8534 Implant supported removable partial overdenture


8536 Crown-implant/abutment supported-porcelain/ceramic


8536 Crown-implant/abutment supported-porcelain/ceramic


8537 Crown-implant/abutment supported-porcelain with

metal 94 Prosthodontic R 2 480.46


metal 92 Periodontics R 0.00

Page 21 of 109


metal 62 Maxillo-facial and Oral Surgery R 0.00


metal 54 General Dental Practice R 1 875.41

8538 Crown-implant/abutment supported-cast metal


8538 Crown-implant/abutment supported-cast metal


8546 Crown retainer-implant abutment supported-porcelain

ceramic 94 Prosthodontic R 2 480.46


ceramic 54 General Dental Practice R 1 875.41


with metal 94 Prosthodontic R 2 480.46


with metal 54 General Dental Practice R 1 875.41

8548 Crown retainer-implant abutment supported-cast metal


8548 Crown retainer-implant abutment supported-cast metal


8551 Occlusal adjustment major Major occlusal adjustment. 94 Prosthodontic R 1 200.79

8551 Occlusal adjustment major Major occlusal adjustment. 64 Orthodontics R 1 200.79

8551 Occlusal adjustment major Major occlusal adjustment. 54 General Dental Practice R 800.57

8552 Veneer-porcelain (laboratory) 94 Prosthodontic R 1 455.51

8552 Veneer-porcelain (laboratory) 54 General Dental Practice R 970.23

8553 Occlusal adjustment minor Minor occlusal adjustment. 94 Prosthodontic R 382.70

8553 Occlusal adjustment minor Minor occlusal adjustment. 92 Periodontics R 382.70

8553 Occlusal adjustment minor Minor occlusal adjustment. 64 Orthodontics R 382.70

8553 Occlusal adjustment minor Minor occlusal adjustment. 54 General Dental Practice R 279.33

8554 Bonded veneers - only with 8099. 94 Prosthodontic R 1 455.51

8554 Bonded veneers - only with 8099. 54 General Dental Practice R 970.23

8560 Cost of ceramic block 94 Prosthodontic R 714.49

8560 Cost of ceramic block 54 General Dental Practice R 714.49

8561 Class I and Class VI gold foil restoration. 94 Prosthodontic R 1 098.88

8561 Class I and Class VI gold foil restoration. 54 General Dental Practice R 732.70

Page 22 of 109

8563 Class V gold foil restoration. 94 Prosthodontic R 1 285.84

8563 Class V gold foil restoration. 54 General Dental Practice R 857.19

8565 Class III gold foil restoration. 94 Prosthodontic R 1 617.54

8565 Class III gold foil restoration. 54 General Dental Practice R 1 078.32

8570 Fabrication of computer generated ceramic restoration 94 Prosthodontic R 1 428.38

8570 Fabrication of computer generated ceramic restoration 54 General Dental Practice R 1 428.38

8578 Prefabricated abutment 94 Prosthodontic R 352.03

8578 Prefabricated abutment 54 General Dental Practice R 234.83

8579 Custom abutment 94 Prosthodontic R 1 605.18

8579 Custom abutment 54 General Dental Practice R 1 070.23

8581 Single post + coping (+ 8099). 94 Prosthodontic R 428.99

8582 Double post 94 Prosthodontic R 611.24

8583 Triple post + coping (+ 8099). 94 Prosthodontic R 757.87

8583 Triple post + coping (+ 8099). 54 General Dental Practice R 0.00

8584 Connector bar-implant supported Dental implant supported connecting bar 94 Prosthodontic R 3 401.92

8584 Connector bar-implant supported Dental implant supported connecting bar 54 General Dental Practice R 2 267.87

8585 Connector bar 94 Prosthodontic R 3 401.92

8585 Connector bar 54 General Dental Practice R 2 267.87

8586 Stress breaker 94 Prosthodontic R 1 268.77

8586 Stress breaker 54 General Dental Practice R 846.07

8587 Copings (+ 8099). 94 Prosthodontic R 352.03

8587 Copings (+ 8099). 54 General Dental Practice R 188.32

8590 Periodic maint. of existing implant prosthesis. 94 Prosthodontic R 155.84

8590 Periodic maint. of existing implant prosthesis. 54 General Dental Practice R 103.71

8592 Osteo-integrated abutment restoration - per abutment


8594 Repair implant supported prosthesis 94 Prosthodontic R 172.81

8594 Repair implant supported prosthesis 54 General Dental Practice R 115.17

8595 Repair implant abutment 94 Prosthodontic R 172.81

8595 Repair implant abutment 54 General Dental Practice R 115.17

8597 Locks and milled rests. 94 Prosthodontic R 172.81

8597 Locks and milled rests. 54 General Dental Practice R 115.17

Page 23 of 109

8599 Precision attachments. 94 Prosthodontic R 421.35

8599 Precision attachments. 54 General Dental Practice R 280.78

8600 Cost of implant components 94 Prosthodontic R 0.00

8600 Cost of implant components 92 Periodontics R 0.00

8600 Cost of implant components 62 Maxillo-facial and Oral Surgery R 0.00

8611 Sanitary pontic (not with 8513). 94 Prosthodontic R 1 285.84

8613 Posterior pontic (not with 8513). 94 Prosthodontic R 1 573.04

8615 Anterior pontic (not with 8513). 94 Prosthodontic R 1 699.33

8617 Retainer cast metal 94 Prosthodontic R 1 098.88

8617 Retainer cast metal 54 General Dental Practice R 561.92

8631 Root canal therapy - first canal. 94 Prosthodontic R 1 491.02

8633 Root canal therapy - additional canal. 94 Prosthodontic R 374.94

8635 Apexification of root canal - per visit. 94 Prosthodontic R 248.65

8635 Apexification of root canal - per visit. 54 General Dental Practice R 168.20

8640 Removal of fractured post/instrument from root canal


8643 Full upper and lower dentures - no major complications.


8645 Full upper and lower dentures - with major complications


8649 Full upper OR lower dentures - no major complications


8651 Full upper OR lower denture - with major complications


8652 Complete overdenture 94 Prosthodontic R 3 401.92

8652 Complete overdenture 54 General Dental Practice R 2 267.87

8653 Partial overdenture 94 Prosthodontic R 2 721.48

8653 Partial overdenture 54 General Dental Practice R 1 814.27

8654 Denture fxd impl/abut sup cmpl 94 Prosthodontic R 3 826.20

8654 Denture fxd impl/abut sup cmpl 54 General Dental Practice R 2 550.79

8655 Denture fxd impl/abut sup prtl 94 Prosthodontic R 2 622.04

8655 Denture fxd impl/abut sup prtl 54 General Dental Practice R 2 040.68

8657 Replacement of precision attachment 94 Prosthodontic R 172.81

8657 Replacement of precision attachment 54 General Dental Practice R 160.56

Page 24 of 109

8658 Interim complete denture 94 Prosthodontic R 1 886.97

8658 Interim complete denture 54 General Dental Practice R 1 257.87

8659 Interim partial denture 94 Prosthodontic R 1 509.56

8659 Interim partial denture 54 General Dental Practice R 1 006.30

8660 Additional fee to implant supported fixed-detachable

denture-per implant 94 Prosthodontic R 352.03

8660 Additional fee to implant supported fixed-detachable

denture-per implant 54 General Dental Practice R 352.03

8661 Diagnostic dentures (not with 8668). 94 Prosthodontic R 3 401.92

8662 Remounting and occlusal adjustment of dentures.


8662 Remounting and occlusal adjustment of dentures.


8663 Chrome cobalt base or gold base for full denture


8663 Chrome cobalt base or gold base for full denture


8664 Remount of crown or bridge for ext. prosthetics.


8664 Remount of crown or bridge for ext. prosthetics.


8667 Soft base - per denture. 94 Prosthodontic R 1 024.95

8667 Soft base - per denture. 54 General Dental Practice R 683.27

8671 Metal frame to partial denture. 94 Prosthodontic R 3 401.92

8672 Additional fee for altered model in partial denture.


8672 Additional fee for altered model in partial denture.


8674 Additive partial denture. 94 Prosthodontic R 1 543.60

8674 Additive partial denture. 54 General Dental Practice R 1 029.10

8701 Periodontal consultation - not with 8703/8705/8707.


8703 Detailed clinical examination - not with 8701/8707.


8705 Periodic re-examination. 92 Periodontics R 205.40

8707 Periodontal screening - not with 92 Periodontics R 205.40

Page 25 of 109

8701/8703/8705.

8723 Provisional splinting - per sextant. 94 Prosthodontic R 352.03

8723 Provisional splinting - per sextant. 92 Periodontics R 352.03

8723 Provisional splinting - per sextant. 54 General Dental Practice R 234.83

8725 Provisional splinting - wire + resin - per sextant.






8727 Provisional splinting- intra coronal per tooth Provisional splinting - per tooth included. 94 Prosthodontic R 160.56

8727 Provisional splinting- intra coronal per tooth Provisional splinting - per tooth included. 92 Periodontics R 160.56

8727 Provisional splinting- intra coronal per tooth Provisional splinting - per tooth included. 54 General Dental Practice R 106.96

8731 Periodontal abscess - treatment acute phase. 92 Periodontics R 302.47

8731 Periodontal abscess - treatment acute phase. 54 General Dental Practice R 201.80

8737 Root planning - four or more teeth per quadrant

Root planning -with/without periodontal curettage


8737 Root planning - four or more teeth per quadrant

Root planning -with/without periodontal curettage


8739 Root planning - one to three teeth per quadrant

Root planning - per sextant. 92 Periodontics R 548.09

8739 Root planning - one to three teeth per quadrant

Root planning - per sextant. 54 General Dental Practice R 402.93

8741 Gingivectomy-gingivoplasty-- per quadrant. 92 Periodontics R 906.07

8741 Gingivectomy-gingivoplasty-- per quadrant. 62 Maxillo-facial and Oral Surgery R 0.00

8741 Gingivectomy-gingivoplasty-- per quadrant. 54 General Dental Practice R 660.68

8743 Gingivectomy-gingivoplasty per sextant. 92 Periodontics R 719.33

8743 Gingivectomy-gingivoplasty per sextant. 54 General Dental Practice R 527.87

8749 Flap operation - per quadrant. 92 Periodontics R 2 057.53

8749 Flap operation - per quadrant. 54 General Dental Practice R 1 371.58

8751 Flap operation - per sextant. 92 Periodontics R 1 704.06

8751 Flap operation - per sextant. 54 General Dental Practice R 1 135.96

8753 Flap procedure root planning and four or more surgical services- per quadrant 92 Periodontics R 2 550.01

8753 Flap procedure root planning and four or more surgical services- per quadrant 54 General Dental Practice R 1 700.12

Page 26 of 109

8755 Flap operation - more than three - per sextant.

92 Periodontics R 2 066.64

8755 Flap operation - more than three - per sextant.


8756 Clinical crown lengthening 92 Periodontics R 1 253.26

8756 Clinical crown lengthening 54 General Dental Practice R 835.51

8759 Pedicle flapped graft. 92 Periodontics R 941.46

8759 Pedicle flapped graft. 54 General Dental Practice R 627.75

8761 Masticatory mucosal autograft. 92 Periodontics R 1 023.38

8761 Masticatory mucosal autograft. 62 Maxillo-facial and Oral Surgery R 1 023.38

8761 Masticatory mucosal autograft. 54 General Dental Practice R 682.14

8762 Masticatory mucosal autograft - more than 4 teeth.



62 Maxillo-facial and Oral Surgery R 1 537.31



8763 Wedge resection. 92 Periodontics R 602.13

8763 Wedge resection. 54 General Dental Practice R 401.35

8765 Hemisection/Resection of a root/Tunnel preparation






8766 Bone regenerative/repair - for flap operation. 92 Periodontics R 492.58

8766 Bone regenerative/repair - for flap operation. 54 General Dental Practice R 328.09

8767 Bone regenerative/repair procedure - single site.






8768 Any other periodontal procedure - single tooth.


8768 Any other periodontal procedure - single 62 Maxillo-facial and Oral Surgery R 0.00

Page 27 of 109

tooth.

8768 Any other periodontal procedure - single tooth.


8769 Subseq. removal of membrane - guided tissue regene.






8770 Cost of bone regenerative/repair material. 92 Periodontics R 0.00

8770 Cost of bone regenerative/repair material. 62 Maxillo-facial and Oral Surgery R 0.00

8770 Cost of bone regenerative/repair material. 54 General Dental Practice R 0.00

8772 Submucosal connective tissue autograft 92 Periodontics R 1 034.05

8772 Submucosal connective tissue autograft 62 Maxillo-facial and Oral Surgery R 1 034.05

8772 Submucosal connective tissue autograft 54 General Dental Practice R 689.55

8773 Cost of intrapocket chemotherapeutic agent 92 Periodontics R 0.00

8773 Cost of intrapocket chemotherapeutic agent 54 General Dental Practice R 0.00

8781 Oral medical consultation/examin. and diagnosis.


8782 Cons. Examin. Diagn & Treatment Oral Dis: Complex


8783 Subsequent consultation for same disease/condition.


8787 Any other procedure connected with oral medicine.


8787 Any other procedure connected with oral medicine.


8801 First consultation: Orthodontist 64 Orthodontics R 262.48

8803 Subsequent consultation: Orthodontist 64 Orthodontics R 152.81

8811 Tracing and analysis of 8116. 94 Prosthodontic R 38.54

8811 Tracing and analysis of 8116. 92 Periodontics R 38.54

8811 Tracing and analysis of 8116. 64 Orthodontics R 38.54

8811 Tracing and analysis of 8116. 62 Maxillo-facial and Oral Surgery R 38.54

8811 Tracing and analysis of 8116. 54 General Dental Practice R 38.54

8837 Diagnosis and treatment planning. 64 Orthodontics R 121.79

Page 28 of 109

8839 Orthodontic diagnostic setup. 64 Orthodontics R 257.75

8839 Orthodontic diagnostic setup. 54 General Dental Practice R 257.75

8840 Treatment planning for orthognathic surgery. 64 Orthodontics R 0.00

8840 Treatment planning for orthognathic surgery. 62 Maxillo-facial and Oral Surgery R 0.00

8840 Treatment planning for orthognathic surgery. 54 General Dental Practice R 0.00

8841 Single arch treatment: Mild 64 Orthodontics R 13 909.61

8841 Single arch treatment: Mild 54 General Dental Practice R 9 273.29

8842 Single arch treatment: Moderate. 64 Orthodontics R 16 346.92

8842 Single arch treatment: Moderate. 54 General Dental Practice R 10 897.91

8843 Single arch treatment: Severe. 64 Orthodontics R 18 624.79

8843 Single arch treatment: Severe. 54 General Dental Practice R 12 416.46

8846 Retainers Removable: Repair 64 Orthodontics R 176.41

8846 Retainers Removable: Repair 54 General Dental Practice R 117.30

8847 Retainers: Replacement. 64 Orthodontics R 609.44

8847 Retainers: Replacement. 54 General Dental Practice R 406.18

8848 Retainers: Fixed:Repair or replacement per unit.


8848 Retainers: Fixed:Repair or replacement per unit.


8849 Retainer 64 Orthodontics R 609.44

8849 Retainer 54 General Dental Practice R 406.18

8850 Treatment of Myofascial pain: lst Consultation.






8851 Treatment of Myofascial pain: subseq. consultation.






8852 Bite plate for TMJ dysfunction 94 Prosthodontic R 640.57

Page 29 of 109

8852 Bite plate for TMJ dysfunction 92 Periodontics R 640.57

8852 Bite plate for TMJ dysfunction 64 Orthodontics R 640.57

8852 Bite plate for TMJ dysfunction 62 Maxillo-facial and Oral Surgery R 640.57

8852 Bite plate for TMJ dysfunction 54 General Dental Practice R 486.18

8855 Consultation-cleft palate therapy (house or hosp)






8856 Consultation-cleft palate (subsequent) 94 Prosthodontic R 172.81

8856 Consultation-cleft palate (subsequent) 64 Orthodontics R 172.81

8856 Consultation-cleft palate (subsequent) 54 General Dental Practice R 115.17

8857 Consultation-cleft palate (maximum) 94 Prosthodontic R 1 202.37

8857 Consultation-cleft palate (maximum) 64 Orthodontics R 1 202.37

8857 Consultation-cleft palate (maximum) 54 General Dental Practice R 801.69

8858 Functional appliance 64 Orthodontics R 3 880.91

8858 Functional appliance 54 General Dental Practice R 2 587.31

8861 Minor corrective therapy: Fixed. 64 Orthodontics R 2 581.13

8861 Minor corrective therapy: Fixed. 54 General Dental Practice R 1 720.79

8862 Minor corrective therapy: Removable (single). 64 Orthodontics R 2 154.28

8862 Minor corrective therapy: Removable (single). 54 General Dental Practice R 1 436.41

8863 Minor corrective therapy: Removable (per additional)

64 Orthodontics R 1 082.71

8863 Minor corrective therapy: Removable (per additional)


8865 Maxillary or mandibular arch 64 Orthodontics R 6 885.42

8865 Maxillary or mandibular arch 54 General Dental Practice R 4 590.02

8866 Combined upper and lower arch 64 Orthodontics R 9 469.48

8866 Combined upper and lower arch 54 General Dental Practice R 6 312.95

8867 Single arch treatment: Mild 64 Orthodontics R 7 400.93

8867 Single arch treatment: Mild 54 General Dental Practice R 4 934.07

8868 Single arch treatment: Moderate. 64 Orthodontics R 9 128.80

8868 Single arch treatment: Moderate. 54 General Dental Practice R 6 085.98

Page 30 of 109

8869 Single arch treatment: Severe. 64 Orthodontics R 10 677.13

8869 Single arch treatment: Severe. 54 General Dental Practice R 7 118.35

8873 Class I Malocclusions: Mild. 64 Orthodontics R 13 544.10

8873 Class I Malocclusions: Mild. 54 General Dental Practice R 9 029.37

8874 Class I Malocclusions: Mild 64 Orthodontics R 26 535.05

8874 Class I Malocclusions: Mild 54 General Dental Practice R 17 690.08

8875 Class I Malocclusions: Moderate. 64 Orthodontics R 16 626.59

8875 Class I Malocclusions: Moderate. 54 General Dental Practice R 11 084.65

8876 Class I Malocclusions: Moderate. 54 General Dental Practice R 20 711.76

8877 Class I Malocclusions: Severe. 64 Orthodontics R 19 382.55

8877 Class I Malocclusions: Severe. 54 General Dental Practice R 12 921.62

8878 Class I Malocclusions: Severe. 54 General Dental Practice R 23 505.03

8879 Class I Malocclusions: Severe with complications.


8879 Class I Malocclusions: Severe with complications.


8880 Class I Malocclusions: Severe plus complications


8881 Class II & III Malocclusions: Mild. 64 Orthodontics R 19 382.55

8881 Class II & III Malocclusions: Mild. 54 General Dental Practice R 12 921.62

8882 Class II & III: Mild 54 General Dental Practice R 21 591.66

8883 Class II & III Malocclusions: Moderate. 64 Orthodontics R 21 782.33

8883 Class II & III Malocclusions: Moderate. 54 General Dental Practice R 14 521.75

8884 Class II & III: Moderate. 54 General Dental Practice R 24 154.25

8885 Class II & III Malocclusions: Severe. 64 Orthodontics R 24 452.46

8885 Class II & III Malocclusions: Severe. 54 General Dental Practice R 16 301.87

8886 Class II & III: Severe. 54 General Dental Practice R 26 901.79

8887 Class II & III Malocclusions: Severe with complic.


8887 Class II & III Malocclusions: Severe with complic.


8888 Class II & III: Severe plus complications. 54 General Dental Practice R 29 933.83

8890 Orthodontic Treatment 64 Orthodontics R 0.00

8890 Orthodontic Treatment 54 General Dental Practice R 0.00

Page 31 of 109

8891 Orthodontics: Deposit 64 Orthodontics R 0.00

8891 Orthodontics: Deposit 54 General Dental Practice R 0.00

8892 Orthodontics: First Instalment 64 Orthodontics R 0.00

8892 Orthodontics: First Instalment 54 General Dental Practice R 0.00

8901 MFO Surgeon: Consultation at consulting rooms.


8901 MFO Surgeon: Consultation at consulting rooms.


8902 Detailed clinical examination; radiographic interpret


8903 MFO Surgeon: Consultation at Hosp./N.Home/House.


8904 MFO Surgeon: Subsequent consultation. 62 Maxillo-facial and Oral Surgery R 152.81

8905 Weekend visits and night visits - 62 Maxillo-facial and Oral Surgery R 336.52

8907 MFO Surgeon: Subsequent cons. per week - maximum.


8908 Removal of roots from maxillary antrum (Caldwell-Luc


8908 Removal of roots from maxillary antrum (Caldwell-Luc


8909 Closure of oral antral fistula - acute or chronic.


8909 Closure of oral antral fistula - acute or chronic.


8911 Caldwell-Luc procedure. 62 Maxillo-facial and Oral Surgery R 751.69

8911 Caldwell-Luc procedure. 54 General Dental Practice R 501.24

8917 Biopsies: Intra-oral. 92 Periodontics R 425.96

8917 Biopsies: Intra-oral. 62 Maxillo-facial and Oral Surgery R 425.96

8917 Biopsies: Intra-oral. 54 General Dental Practice R 319.55

8919 Biopsy of bone - needle biopsy. 62 Maxillo-facial and Oral Surgery R 737.76

8919 Biopsy of bone - needle biopsy. 54 General Dental Practice R 491.80

8921 Biopsy of bone: Open. 62 Maxillo-facial and Oral Surgery R 1 207.09

8921 Biopsy of bone: Open. 54 General Dental Practice R 804.72

8931 Local treatment of post-extraction haemorrhage.


Page 32 of 109





8933 Treatment of haemorrhage - blood dyscrasias - week.


8933 Treatment of haemorrhage - blood dyscrasias - week.


8935 Treatment of post-extraction septic socket. 95 Dental therapy R 78.31

8935 Treatment of post-extraction septic socket. 62 Maxillo-facial and Oral Surgery R 145.06

8935 Treatment of post-extraction septic socket. 54 General Dental Practice R 92.58

8937 Surgical removal of erupted tooth req.elevation of

mucoperiosteal flap & removal of bone etc. 94 Prosthodontic R 0.00


mucoperiosteal flap & removal of bone etc. 92 Periodontics R 546.41


mucoperiosteal flap & removal of bone etc. 62 Maxillo-facial and Oral Surgery R 737.76


mucoperiosteal flap & removal of bone etc. 54 General Dental Practice R 546.41

8941 Surgical removal of impacted tooth- first tooth

us 94 Prosthodontic R 0.00


us 62 Maxillo-facial and Oral Surgery R 1 191.58


us 54 General Dental Practice R 906.07

8943 Surgical removal of impacted tooth- second tooth






8945 Surgical removal of impacted tooth - third and subsequent teeth 94 Prosthodontic R 0.00

8945 Surgical removal of impacted tooth - third and subsequent teeth 62 Maxillo-facial and Oral Surgery R 364.27

8945 Surgical removal of impacted tooth - third and subsequent teeth 54 General Dental Practice R 276.18

8953 Surgical removal of residual roots (cutting proceed)

incl cutting of soft tissue & bone etc. 94 Prosthodontic R 0.00

8953 Surgical removal of residual roots (cutting incl cutting of soft tissue & bone etc. 62 Maxillo-facial and Oral Surgery R 737.76

Page 33 of 109

proceed)

8957 Alveolotomy or alveolectomy (per jaw). 92 Periodontics R 670.91

8957 Alveolotomy or alveolectomy (per jaw). 62 Maxillo-facial and Oral Surgery R 1 006.52

8957 Alveolotomy or alveolectomy (per jaw). 54 General Dental Practice R 670.91

8958 Tracheostomy 62 Maxillo-facial and Oral Surgery R 845.63

8958 Tracheostomy 54 General Dental Practice R 563.93

8959 Pharyngostomy 62 Maxillo-facial and Oral Surgery R 845.63

8959 Pharyngostomy 54 General Dental Practice R 563.93

8961 Auto-transplantation of teeth 62 Maxillo-facial and Oral Surgery R 1 650.01

8961 Auto-transplantation of teeth 54 General Dental Practice R 1 100.00

8962 Harvest iliac crest graft 62 Maxillo-facial and Oral Surgery R 498.32

8962 Harvest iliac crest graft 54 General Dental Practice R 405.50

8963 Harvest rib graft 62 Maxillo-facial and Oral Surgery R 697.76

8963 Harvest rib graft 54 General Dental Practice R 465.29

8964 Harvest cranium graft 62 Maxillo-facial and Oral Surgery R 546.41

8964 Harvest cranium graft 54 General Dental Practice R 364.27

8965 Peripheral neurectomy. 62 Maxillo-facial and Oral Surgery R 1 650.01

8965 Peripheral neurectomy. 54 General Dental Practice R 1 100.00

8966 Functional repair of oronasal fistula (local flaps).


8966 Functional repair of oronasal fistula (local flaps).


8967 Cysts of jaws: Intra-oral approach. 62 Maxillo-facial and Oral Surgery R 2 292.14

8967 Cysts of jaws: Intra-oral approach. 54 General Dental Practice R 1 528.21

8969 Cysts of jaws: Extra-oral approach. 62 Maxillo-facial and Oral Surgery R 3 671.92

8969 Cysts of jaws: Extra-oral approach. 54 General Dental Practice R 2 447.88

8971 Surgical treatment of soft tissue tumours 92 Periodontics R 737.76

8971 Surgical treatment of soft tissue tumours 62 Maxillo-facial and Oral Surgery R 737.76

8971 Surgical treatment of soft tissue tumours 54 General Dental Practice R 491.80

8973 Surgical treatment of tumours of the jaws. 62 Maxillo-facial and Oral Surgery R 3 671.92

8973 Surgical treatment of tumours of the jaws. 54 General Dental Practice R 2 447.88

8975 Hemiresection of jaw with splintage of segments.


Page 34 of 109

8975 Hemiresection of jaw with splintage of segments.


8977 Major repairs of upper or lower jaw. 62 Maxillo-facial and Oral Surgery R 3 854.29

8977 Major repairs of upper or lower jaw. 54 General Dental Practice R 2 569.56

8979 Harvesting of autogenous grafts (intra-oral) 92 Periodontics R 317.98

8979 Harvesting of autogenous grafts (intra-oral) 62 Maxillo-facial and Oral Surgery R 317.98

8979 Harvesting of autogenous grafts (intra-oral) 54 General Dental Practice R 211.92

8981 Surgical exposure of impacted/unerupted teeth.






8983 Corticotomy - first tooth. 62 Maxillo-facial and Oral Surgery R 1 095.85

8983 Corticotomy - first tooth. 54 General Dental Practice R 730.46

8984 Corticotomy - adjacent or subsequent tooth. 62 Maxillo-facial and Oral Surgery R 555.74

8984 Corticotomy - adjacent or subsequent tooth. 54 General Dental Practice R 370.34

8985 Frenectomy. 92 Periodontics R 1 006.52

8985 Frenectomy. 62 Maxillo-facial and Oral Surgery R 1 006.52

8985 Frenectomy. 54 General Dental Practice R 670.91

8987 Reduction of mylohyoid ridges per side 62 Maxillo-facial and Oral Surgery R 1 650.01

8987 Reduction of mylohyoid ridges per side 54 General Dental Practice R 1 100.00

8989 Torus mandibularis reduction per side 62 Maxillo-facial and Oral Surgery R 1 650.01

8989 Torus mandibularis reduction per side 54 General Dental Practice R 1 100.00

8991 Torus palatinus reduction 62 Maxillo-facial and Oral Surgery R 1 650.01

8991 Torus palatinus reduction 54 General Dental Practice R 1 100.00

8993 Reduction of hypertrophic tuberosity - per side.


8993 Reduction of hypertrophic tuberosity - per side.


8995 Gingivectomy - per jaw. 62 Maxillo-facial and Oral Surgery R 1 467.98

8995 Gingivectomy - per jaw. 54 General Dental Practice R 978.54

8997 Sulcoplasty/Vestibuloplasty. 92 Periodontics R 3 783.28

8997 Sulcoplasty/Vestibuloplasty. 62 Maxillo-facial and Oral Surgery R 3 783.28

Page 35 of 109

8997 Sulcoplasty/Vestibuloplasty. 54 General Dental Practice R 2 522.04

9003 Repositioning mental foramen and nerve - per side.


9003 Repositioning mental foramen and nerve - per side.


9004 Lateralization if inferior denture nerve (Including bone grafting)/Additional staining pr


9004 Lateralization if inferior denture nerve (Including bone grafting)/Additional staining pr


9005 Alveolar ridge augmentation by bone graft. 92 Periodontics R 3 857.32

9005 Alveolar ridge augmentation by bone graft. 62 Maxillo-facial and Oral Surgery R 3 857.32

9005 Alveolar ridge augmentation by bone graft. 54 General Dental Practice R 2 571.58

9007 Alveolar ridge augmentation by alloplastic material.

Amniotic Fluid karyotyping 4755 62 Maxillo-facial and Oral Surgery R 2 427.88

9007 Alveolar ridge augmentation by alloplastic material.

Amniotic Fluid karyotyping 4755 54 General Dental Practice R 1 618.66

9008 Alveolar ridge augmentation across 1 to 2 adjacent t






9009 Alveolar ridge augmentation across 3 or more tooth s








9010 Sinus lift procedure/ Sinus lig prosedure 94 Prosthodontic R 0.00

9010 Sinus lift procedure/ Sinus lig prosedure 92 Periodontics R 2 506.75

9010 Sinus lift procedure/ Sinus lig prosedure 62 Maxillo-facial and Oral Surgery R 2 506.75

9010 Sinus lift procedure/ Sinus lig prosedure 54 General Dental Practice R 1 671.13

9011 Incision and drainage of pyogenic abscesses. 95 Dental therapy R 147.75

9011 Incision and drainage of pyogenic abscesses. 62 Maxillo-facial and Oral Surgery R 469.22

Page 36 of 109

9011 Incision and drainage of pyogenic abscesses. 54 General Dental Practice R 312.92

9013 Incision/Drainage pyogenic abscess - extra-oral.


9013 Incision/Drainage pyogenic abscess - extra-oral.


9015 Apicectomy including retrograde filling - anterior.








9016 Apicectomy including retrograde filling - posterior.








9017 Decortication/saucerisation/sequestromy - osteomye.


9017 Decortication/saucerisation/sequestromy - osteomye.


9019 Sequestrectomy intra-oral per sextant and or ramus


9019 Sequestrectomy intra-oral per sextant and or ramus


9021 Soft tissue injuries - minor. 62 Maxillo-facial and Oral Surgery R 827.31

9021 Soft tissue injuries - minor. 54 General Dental Practice R 623.60

9023 Soft tissue injuries - major. 62 Maxillo-facial and Oral Surgery R 1 741.13

9023 Soft tissue injuries - major. 54 General Dental Practice R 1 160.90

9024 Dento-alveolar fracture per sextant 62 Maxillo-facial and Oral Surgery R 827.31

9024 Dento-alveolar fracture per sextant 54 General Dental Practice R 551.47

9025 Treatment by closed reduction with inter. fixation.


Page 37 of 109

9025 Treatment by closed reduction with inter. fixation.


9027 Treatment of compound fracture - eyelet wiring.


9027 Treatment of compound fracture - eyelet wiring.


9029 Treatment of fracture by metal cap splintage. 62 Maxillo-facial and Oral Surgery R 2 884.06

9029 Treatment of fracture by metal cap splintage. 54 General Dental Practice R 1 922.48

9031 Treatment of open reduction with rest of occlusion.


9031 Treatment of open reduction with rest of occlusion.


9035 Le Fort I or Guerin fracture./Cell Culture: Amniotic Fluid 4751 62 Maxillo-facial and Oral Surgery R 2 609.12

9035 Le Fort I or Guerin fracture./Cell Culture: Amniotic Fluid 4751 54 General Dental Practice R 1 571.13

9037 Le Fort II or middle third of face. 62 Maxillo-facial and Oral Surgery R 4 274.62

9037 Le Fort II or middle third of face. 54 General Dental Practice R 2 574.39

9039 Le Fort III or craniofacial disjunction. 62 Maxillo-facial and Oral Surgery R 6 130.81

9039 Le Fort III or craniofacial disjunction. 54 General Dental Practice R 3 692.15

9041 Zygomatic arch fracture - closed reduction 62 Maxillo-facial and Oral Surgery R 1 854.62

9041 Zygomatic arch fracture - closed reduction 54 General Dental Practice R 1 236.64

9043 Unstable and/or comminuted zygoma. 62 Maxillo-facial and Oral Surgery R 3 716.87

9043 Unstable and/or comminuted zygoma. 54 General Dental Practice R 2 477.76

9045 Fracture requiring multiple interosseous wiring.

Crossmatching B-cell 4608 62 Maxillo-facial and Oral Surgery R 5 568.12

9045 Fracture requiring multiple interosseous wiring.

Crossmatching B-cell 4608 54 General Dental Practice R 3 712.15

9046 Placement of Zygomaticus fixture per fixture3 62 Maxillo-facial and Oral Surgery R 3 677.77

9046 Placement of Zygomaticus fixture per fixture3 54 General Dental Practice R 2 452.03

9047 Improvement of occlusal function - no reduction.

Corssmatching T-cells 4607 62 Maxillo-facial and Oral Surgery R 7 793.29

9047 Improvement of occlusal function - no reduction.

Corssmatching T-cells 4607 54 General Dental Practice R 5 195.30

9048 Removal of internal fixation devices per site 62 Maxillo-facial and Oral Surgery R 714.27

9048 Removal of internal fixation devices per site 54 General Dental Practice R 476.07

9049 Osteotomy of mandible - no Donation 62 Maxillo-facial and Oral Surgery R 6 494.63

Page 38 of 109

reduction./Directed

9049 Osteotomy of mandible - no reduction./Directed

Donation 54 General Dental Practice R 4 330.02

9050 Total subapical osteotomy/Paternity investigation -

3 client 62 Maxillo-facial and Oral Surgery R 11 880.05

9050 Total subapical osteotomy/Paternity investigation -

3 client 54 General Dental Practice R 7 920.26

9051 Genioplasty - no reduction. 62 Maxillo-facial and Oral Surgery R 3 716.87

9051 Genioplasty - no reduction. 54 General Dental Practice R 2 477.76

9052 Midfacial exposure - no reduction. 62 Maxillo-facial and Oral Surgery R 5 883.85

9052 Midfacial exposure - no reduction. 54 General Dental Practice R 3 922.49

9053 Coronoidectomy (intra-oral approach). 62 Maxillo-facial and Oral Surgery R 2 318.55

9053 Coronoidectomy (intra-oral approach). 54 General Dental Practice R 1 545.85

9055 Osteotomy (Schukardt) - no reduction. 62 Maxillo-facial and Oral Surgery R 6 494.63

9055 Osteotomy (Schukardt) - no reduction. 54 General Dental Practice R 4 330.02

9057 Osteotomy (Wassmund) - no reduction. 62 Maxillo-facial and Oral Surgery R 6 494.63

9057 Osteotomy (Wassmund) - no reduction. 54 General Dental Practice R 4 330.02

9059 Le Fort I-osteotomy - no reduction. 62 Maxillo-facial and Oral Surgery R 12 220.84

9059 Le Fort I-osteotomy - no reduction. 54 General Dental Practice R 8 147.34

9060 Le Fort I osteotomy with repositioning - no reduc.


9060 Le Fort I osteotomy with repositioning - no reduc.


9061 Palatal osteotomy - no reduction. 62 Maxillo-facial and Oral Surgery R 4 274.62

9061 Palatal osteotomy - no reduction. 54 General Dental Practice R 2 849.79

9062 Le Fort I osteotomy - multiple segments - No reduct.


9062 Le Fort I osteotomy - multiple segments - No reduct.


9063 Le Fort II osteotomy - facial deformities - no red.


9063 Le Fort II osteotomy - facial deformities - no red.


9065 Le Fort III osteotomy - congenital deformities. 62 Maxillo-facial and Oral Surgery R 23 391.67

9065 Le Fort III osteotomy - congenital deformities. 54 General Dental Practice R 15 594.33

Page 39 of 109

9066 Surgically assisted maxillary or mandibular expan-

sion 62 Maxillo-facial and Oral Surgery R 3 716.87

9066 Surgically assisted maxillary or mandibular expan-

sion 54 General Dental Practice R 2 477.76

9069 Functional tongue reduction - No reduction. 62 Maxillo-facial and Oral Surgery R 2 783.94

9069 Functional tongue reduction - No reduction. 54 General Dental Practice R 1 855.85

9071 Geniohyoidotomy - no reduction. 62 Maxillo-facial and Oral Surgery R 1 670.11

9071 Geniohyoidotomy - no reduction. 54 General Dental Practice R 1 113.60

9072 Funct. closure of secondary oro-nasal fistula. 62 Maxillo-facial and Oral Surgery R 12 220.84

9072 Funct. closure of secondary oro-nasal fistula. 54 General Dental Practice R 8 147.34

9074 Diagnostic arthroscopy. 62 Maxillo-facial and Oral Surgery R 1 845.07

9074 Diagnostic arthroscopy. 54 General Dental Practice R 1 230.23

9075 Condylectomy or coronoidectomy or both/menisectomy.


9075 Condylectomy or coronoidectomy or both/menisectomy.


9076 Arthrocentesis TMJ 62 Maxillo-facial and Oral Surgery R 1 018.77

9076 Arthrocentesis TMJ 54 General Dental Practice R 679.22

9077 Intra-articular injection - per injection. 62 Maxillo-facial and Oral Surgery R 278.21

9077 Intra-articular injection - per injection. 54 General Dental Practice R 185.28

9079 Trigger point injection: per injection. HLA low res.Class II DNA/locus DRB1 4427 62 Maxillo-facial and Oral Surgery R 217.19

9079 Trigger point injection: per injection. HLA low res.Class II DNA/locus DRB1 4427 54 General Dental Practice R 144.61

9081 Condyle neck osteotomy (Ward/Kostecka). 62 Maxillo-facial and Oral Surgery R 1 854.62

9081 Condyle neck osteotomy (Ward/Kostecka). 54 General Dental Practice R 1 236.64

9083 Temperomand artroplasty (le Clerk/Toller procedure).


9083 Temperomand artroplasty (le Clerk/Toller procedure).


9085 Reduction temporomandibular joint - no anaesth.


9085 Reduction temporomandibular joint - no anaesth.


9087 Reduction temporomandibular joint - with aneast.


9087 Reduction temporomandibular joint - with 54 General Dental Practice R 497.75

Page 40 of 109

aneast.

9089 Red. temporomandibular joint with anaest/immobil.


9089 Red. temporomandibular joint with anaest/immobil.


9091 Red. temporomandibular joint dis.- open reduction.


9091 Red. temporomandibular joint dis.- open reduction.


9092 Total joint reconstruction - alloplastic or bone. 62 Maxillo-facial and Oral Surgery R 12 375.55

9092 Total joint reconstruction - alloplastic or bone. 54 General Dental Practice R 8 250.37

9093 Removal of salivary calculus. 62 Maxillo-facial and Oral Surgery R 837.42

9093 Removal of salivary calculus. 54 General Dental Practice R 558.21

9095 Removal of salivary gland. 62 Maxillo-facial and Oral Surgery R 2 063.83

9095 Removal of salivary gland. 54 General Dental Practice R 1 375.96

9096 Removal of salivary Gland 62 Maxillo-facial and Oral Surgery R 3 057.54

9096 Removal of salivary Gland 54 General Dental Practice R 2 038.55

9101 Surgical obturator - Modified denture. 94 Prosthodontic R 256.18

9101 Surgical obturator - Modified denture. 54 General Dental Practice R 170.90

9102 Surgical obturator - continuous base. 94 Prosthodontic R 695.29

9102 Surgical obturator - continuous base. 54 General Dental Practice R 463.49

9103 Surgical obturator - split base. 94 Prosthodontic R 1 035.62

9103 Surgical obturator - split base. 54 General Dental Practice R 690.57

9104 Interim obturator on existing denture. 94 Prosthodontic R 1 562.37

9104 Interim obturator on existing denture. 54 General Dental Practice R 1 041.46

9105 Interim obturator on new denture. 94 Prosthodontic R 4 824.62

9105 Interim obturator on new denture. 54 General Dental Practice R 3 216.31

9106 Definitive obturator - open. 94 Prosthodontic R 1 562.37

9106 Definitive obturator - open. 54 General Dental Practice R 1 041.46

9107 Definitive obturator - silicone glove. 94 Prosthodontic R 3 016.98

9107 Definitive obturator - silicone glove. 54 General Dental Practice R 2 011.36

9108 Mandib. resection prosthesis with guide flange.


9108 Mandib. resection prosthesis with guide 54 General Dental Practice R 2 470.68

Page 41 of 109

flange

9109 Mandib. resection prosthesis without guide flange.

Prevention of Haemolytic Disease Test 94 Prosthodontic R 3 443.49

9109 Mandib. resection prosthesis without guide flange.

Prevention of Haemolytic Disease Test 54 General Dental Practice R 2 295.51

9110 Mandib. resection prosthesis - Palatal augmentation.


9110 Mandib. resection prosthesis - Palatal augmentation.


9111 Glossal resection prosthesis - simple prosthesis.

Red cell Rh phenotype 3834 94 Prosthodontic R 1 449.89

9111 Glossal resection prosthesis - simple prosthesis.

Red cell Rh phenotype 3834 54 General Dental Practice R 966.52

9112 Glossal resection prosthesis - complex prosthesis.


9112 Glossal resection prosthesis - complex prosthesis.


9113 Radiotherapy appliances: Carriers - simple. 94 Prosthodontic R 1 562.37

9113 Radiotherapy appliances: Carriers - simple. 54 General Dental Practice R 1 041.46

9114 Radiotherapy appliances: Carriers - complex. 94 Prosthodontic R 4 311.93

9114 Radiotherapy appliances: Carriers - complex. 54 General Dental Practice R 2 874.73

9115 Radiotherapy appliances: Shields - simple. 94 Prosthodontic R 1 562.37

9115 Radiotherapy appliances: Shields - simple. 54 General Dental Practice R 1 041.46

9116 Radiotherapy appliances: Shields - complex. 94 Prosthodontic R 4 311.93

9116 Radiotherapy appliances: Shields - complex. 54 General Dental Practice R 2 874.73

9117 Radiotherapy appliances: Cone locators. 94 Prosthodontic R 1 562.37

9117 Radiotherapy appliances: Cone locators. 54 General Dental Practice R 1 041.46

9118 Chemotherapeutic agent carriers. 94 Prosthodontic R 1 562.37

9118 Chemotherapeutic agent carriers. 54 General Dental Practice R 1 041.46

9119 Passive presurgical prosthesis. 94 Prosthodontic R 1 382.81

9119 Passive presurgical prosthesis. 64 Orthodontics R 1 382.81

9119 Passive presurgical prosthesis. 54 General Dental Practice R 921.80

9120 Active presurgical orthopaedic appliance - minor.


9120 Active presurgical orthopaedic appliance - 64 Orthodontics R 1 382.81

Page 42 of 109

minor.

9120 Active presurgical orthopaedic appliance - minor.


9121 Active presurgical orthopaedic appliance - moderate.






9122 Active presurgical orthopaedic appliance - severe.






9123 Active presurgical orthopaedic appiance adjustment.






9125 Speech aid/obturator with palatal modification.


9125 Speech aid/obturator with palatal modification.


9126 Speech aid/obturator with velar modification. Test tube agglutination 3953 94 Prosthodontic R 1 562.37

9126 Speech aid/obturator with velar modification. Test tube agglutination 3953 54 General Dental Practice R 1 041.46

9127 Speech aid/obturator with pharyngeal modification.


9127 Speech aid/obturator with pharyngeal modification.


9128 Speech aid/obturator adjustment. 94 Prosthodontic R 174.94

9128 Speech aid/obturator adjustment. 54 General Dental Practice R 116.74

9129 Speech aid/obturator surgical prosthesis. Therapeutic venisection 0208 94 Prosthodontic R 1 382.81

9129 Speech aid/obturator surgical prosthesis. Therapeutic venisection 0208 54 General Dental Practice R 921.80

9130 Speech appliances: Palatal lift. 94 Prosthodontic R 695.29

Page 43 of 109

9130 Speech appliances: Palatal lift. 54 General Dental Practice R 463.49

9131 Speech appliances: Palatal stimulating. 94 Prosthodontic R 1 562.37

9131 Speech appliances: Palatal stimulating. 54 General Dental Practice R 1 041.46

9132 Speech appliances: Speech bulb. 94 Prosthodontic R 3 443.49

9132 Speech appliances: Speech bulb. 54 General Dental Practice R 2 295.51

9133 Speech appliances: Adjustments. 94 Prosthodontic R 174.94

9133 Speech appliances: Adjustments. 54 General Dental Practice R 116.74

9134 Speech appliances (Other) - by arrangement. 94 Prosthodontic R 0.00

9134 Speech appliances (Other) - by arrangement. 54 General Dental Practice R 0.00

9135 Auricular prosthesis - simple. 94 Prosthodontic R 4 311.93

9135 Auricular prosthesis - simple. 54 General Dental Practice R 2 874.73

9136 Auricular prosthesis - complex. 94 Prosthodontic R 5 596.21

9136 Auricular prosthesis - complex. 54 General Dental Practice R 3 750.92

9137 Nasal prosthesis - simple./Bone Marrow Donor Typing

(Serology) 94 Prosthodontic R 4 311.93

9137 Nasal prosthesis - simple./Bone Marrow Donor Typing

(Serology) 54 General Dental Practice R 2 874.73

9138 Nasal prosthesis - complex. 94 Prosthodontic R 5 596.21

9138 Nasal prosthesis - complex. 54 General Dental Practice R 3 750.92

9139 Ocular prosthesis - conformer. 94 Prosthodontic R 1 562.37

9139 Ocular prosthesis - conformer. 54 General Dental Practice R 1 041.46

9140 Ocular prosthesis using modified stock appliance.


9140 Ocular prosthesis using modified stock appliance.


9141 Ocular prosthesis using custom appliance. 94 Prosthodontic R 5 596.21

9141 Ocular prosthesis using custom appliance. 54 General Dental Practice R 3 750.92

9142 Orbital prosthesis - simple (excl. ocular section).


9142 Orbital prosthesis - simple (excl. ocular section).


9143 Orbital prosthesis - complex (excl. ocular section).


9143 Orbital prosthesis - complex (excl. ocular 54 General Dental Practice R 3 750.92

Page 44 of 109

section).

9148 Other body prostheses - simple. 94 Prosthodontic R 3 876.20

9148 Other body prostheses - simple. 54 General Dental Practice R 2 584.06

9149 Other body prostheses - complex./Chorionic Villus

Sample Karyotyping 4755 94 Prosthodontic R 5 596.21

9149 Other body prostheses - complex./Chorionic Villus

Sample Karyotyping 4755 54 General Dental Practice R 3 750.92

9150 Surgical facial prostheses - simple. 94 Prosthodontic R 3 016.98

9150 Surgical facial prostheses - simple. 54 General Dental Practice R 2 011.36

9151 Surgical facial prostheses - complex. 94 Prosthodontic R 3 876.20

9151 Surgical facial prostheses - complex. 54 General Dental Practice R 2 584.06

9155 Cranial prosthesis. 94 Prosthodontic R 1 562.37

9155 Cranial prosthesis. 54 General Dental Practice R 1 041.46

9156 Custom implants: Cranial - acrylic/elast/metallic.


9156 Custom implants: Cranial - acrylic/elast/metallic.


9157 Implants: Facial - simple. 94 Prosthodontic R 941.92

9157 Implants: Facial - simple. 54 General Dental Practice R 627.98

9158 Implants: Facial - complex./Blood: DNA extraction


9158 Implants: Facial - complex./Blood: DNA extraction


9159 Implants: Ocular - custom made./HLA low res.Class II

PCR Locus DQB 4427 94 Prosthodontic R 941.92

9159 Implants: Ocular - custom made./HLA low res.Class II

PCR Locus DQB 4427 54 General Dental Practice R 627.98

9160 Implants: Body - special prosthesis. 94 Prosthodontic R 4 193.28

9160 Implants: Body - special prosthesis. 54 General Dental Practice R 2 795.63

9161 Appliances: Splints - simple. 94 Prosthodontic R 426.63

9161 Appliances: Splints - simple. 54 General Dental Practice R 284.15

9162 Appliances: Splints - complex./Karyotyping products

of cenception 4755 94 Prosthodontic R 1 562.37

9162 Appliances: Splints - complex./Karyotyping products

of cenception 4755 54 General Dental Practice R 1 041.46

Page 45 of 109

9163 Appliances: Templates - simple./Cell culture product

of conception 4751 94 Prosthodontic R 426.63

9163 Appliances: Templates - simple./Cell culture product

of conception 4751 54 General Dental Practice R 284.15

9164 Appliances: Templates - complex./Additional analysis

mosaicism 94 Prosthodontic R 1 562.37

9164 Appliances: Templates - complex./Additional analysis

mosaicism 54 General Dental Practice R 1 041.46

9165 Appliances: Conformers - simple. 94 Prosthodontic R 426.63

9165 Appliances: Conformers - simple. 54 General Dental Practice R 284.15

9166 Appliances: Conformers - complex. 94 Prosthodontic R 1 562.37

9166 Appliances: Conformers - complex. 54 General Dental Practice R 1 041.46

9167 Trismus appliance - simple. 94 Prosthodontic R 174.94

9167 Trismus appliance - simple. 54 General Dental Practice R 116.74

9168 Trismus appliance - complex. 94 Prosthodontic R 1 562.37

9168 Trismus appliance - complex. 54 General Dental Practice R 1 041.46

9169 Orthoses (for paralysed patients). 94 Prosthodontic R 3 443.49

9169 Orthoses (for paralysed patients). 54 General Dental Practice R 2 295.51

9170 Facial palsy appliances. 94 Prosthodontic R 1 035.62

9170 Facial palsy appliances. 54 General Dental Practice R 690.57

9171 Oral splints (per commissure). 94 Prosthodontic R 426.63

9171 Oral splints (per commissure). 54 General Dental Practice R 284.15

9172 Dynamic oral retractors (per arm). 94 Prosthodontic R 426.63

9172 Dynamic oral retractors (per arm). 54 General Dental Practice R 284.15

9174 Burn appliances: Other. 94 Prosthodontic R 0.00

9174 Burn appliances: Other. 54 General Dental Practice R 0.00

9175 Attendance in theatre - per hour. 94 Prosthodontic R 576.63

9175 Attendance in theatre - per hour. 54 General Dental Practice R 384.15

9180 Placement of sub-periosteal implant - do NOT reduce.


9180 Placement of sub-periosteal implant - do NOT reduce.


9181 Placement of sub-periosteal implant pros. - no reduction


Page 46 of 109

9181 Placement of sub-perio. implant pros. - no reduction


9182 Placem. of endosteal implant - per implant. 92 Periodontics R 1 250.12

9182 Placem. of endosteal implant - per implant. 62 Maxillo-facial and Oral Surgery R 1 250.12

9182 Placem. of endosteal implant - per implant. 54 General Dental Practice R 833.49

9183 Placem. of single osseointegrated implant per jaw.






9184 Placem. 2nd osseointegrated implant in same jaw.








9185 Placem. 3rd & subseq. osseointegrated implant.








9187 Cost of endosteal implant body 92 Periodontics R 0.00

9187 Cost of endosteal implant body 54 General Dental Practice R 0.00

9188 Cost of prefabricated abutment 54 General Dental Practice R 0.00

9189 Cost of implants. 54 General Dental Practice R 0.00

9190 Exposure of single osseointegrated implant. 94 Prosthodontic R 589.55

9190 Exposure of single osseointegrated implant. 92 Periodontics R 589.55

9190 Exposure of single osseointegrated implant. 62 Maxillo-facial and Oral Surgery R 589.55

9190 Exposure of single osseointegrated implant. 54 General Dental Practice R 435.17

9191 Expos. of 2nd osseointegrated implant - same 94 Prosthodontic R 443.04

Page 47 of 109

jaw.

9191 Expos. of 2nd osseointegrated implant - same jaw.






9192 Expos. of 3rd & subseq. osseoint. implant. 94 Prosthodontic R 297.98

9192 Expos. of 3rd & subseq. osseoint. implant. 92 Periodontics R 297.98

9192 Expos. of 3rd & subseq. osseoint. implant. 62 Maxillo-facial and Oral Surgery R 297.98

9192 Expos. of 3rd & subseq. osseoint. implant. 54 General Dental Practice R 219.22

9198 Implant removal 92 Periodontics R 813.49

9198 Implant removal 62 Maxillo-facial and Oral Surgery R 813.49

9198 Implant removal 54 General Dental Practice R 542.25

9201 Consultation at rooms. 98 Oral pathology R 265.73

9203 Consultation at hospital - nursing home or house.

98 Oral pathology R 232.81

9205 Subsequent consultation. 98 Oral pathology R 154.61

9207 Night consultation. / After hours consultation 98 Oral pathology R 340.67

9220 Repair of cleft hard palate (uniateral). 62 Maxillo-facial and Oral Surgery R 6 825.99

9220 Repair of cleft hard palate (uniateral). 54 General Dental Practice R 4 550.80

9222 Repair of cleft hard palate (bilateral - one procedure). 62 Maxillo-facial and Oral Surgery R 8 664.76

9222 Repair of cleft hard palate (bilateral - one procedure). 54 General Dental Practice R 5 776.54

9224 Repair of cleft hard palate (bilateral in two procedures). 62 Maxillo-facial and Oral Surgery R 12 909.94

9224 Repair of cleft hard palate (bilateral in two procedures). 54 General Dental Practice R 8 607.68

9226 Repair of cleft soft palate (without muscle reconstruction). 62 Maxillo-facial and Oral Surgery R 5 719.57

9226 Repair of cleft soft palate (without muscle reconstruction). 54 General Dental Practice R 3 813.16

9228 Repair of soft palatum (with muscle reconstruc-

tion. 62 Maxillo-facial and Oral Surgery R 8 305.43

9228 Repair of soft palatum (with muscle reconstruc-

tion. 54 General Dental Practice R 5 536.98

9230 Repair of submucosal cleft and/or bifid uvula (with muscle reconstruction). 62 Maxillo-facial and Oral Surgery R 6 183.96

9230 Repair of submucosal cleft and/or bifid uvula (with muscle reconstruction). 54 General Dental Practice R 4 122.49

9232 Velopharyngeal reconstruction 62 Maxillo-facial and Oral Surgery R 6 363.51

Page 48 of 109

(uncomplicated).

9232 Velopharyngeal reconstruction (uncomplicated).


9234 Velopharyngeal reconstruction (complicated type).


9234 Velopharyngeal reconstruction (complicated type).


9238 Functional repair of oro-nasal fistula (distant flaps - in a single procedure). 62 Maxillo-facial and Oral Surgery R 3 891.81

9238 Functional repair of oro-nasal fistula (distant flaps - in a single procedure). 54 General Dental Practice R 2 594.73

9240 Functional repair of oro-nasal fistula - 2 proced.


9240 Functional repair of oro-nasal fistula - 2 proced.


9246 Secondary periost. swivel flaps for bone induction.


9246 Secondary periost. swivel flaps for bone induction.


9248 Lipadhesion 62 Maxillo-facial and Oral Surgery R 1 268.43

9248 Lipadhesion 54 General Dental Practice R 845.51

9250 Unilateral cleft lip repair (without muscle recon.)


9250 Unilateral cleft lip repair (without muscle recon.)


9252 Unilateral cleft lip repair (with muscle reconstruc.


9252 Unilateral cleft lip repair (with muscle reconstruc.


9254 Bilateral cleft lip repair (without muscle reconstr)


9254 Bilateral cleft lip repair (without muscle reconstr)


9256 Bilateral cleft lip repair (with muscle reconstruc.)


9256 Bilateral cleft lip repair (with muscle reconstruc.)


9258 Anterior nasal floor repair (between alveolus) 62 Maxillo-facial and Oral Surgery R 1 216.98

9258 Anterior nasal floor repair (between alveolus) 54 General Dental Practice R 811.46

Page 49 of 109

9260 Partial revision of secondary cleft lip deformity


9260 Partial revision of secondary cleft lip deformity


9262 Total revision of secondary cleft lip deformity 62 Maxillo-facial and Oral Surgery R 2 749.67

9262 Total revision of secondary cleft lip deformity 54 General Dental Practice R 1 833.15

9264 Abbe-flap (in two stages) 62 Maxillo-facial and Oral Surgery R 3 113.83

9264 Abbe-flap (in two stages) 54 General Dental Practice R 2 075.97

9266 Columella reconstruction 62 Maxillo-facial and Oral Surgery R 1 840.46

9266 Columella reconstruction 54 General Dental Practice R 1 227.09

9268 Partial reconstruction of nose due to cleft deform.


9268 Partial reconstruction of nose due to cleft deform.


9270 Complete reconstruction of nose due to cleft deform.


9270 Complete reconstruction of nose due to cleft deform.


9272 Paranasal augmentation for nasal base deviation


9272 Paranasal augmentation for nasal base deviation


9274 Anterior table - frontal sinus and/or supraorbital

rim 62 Maxillo-facial and Oral Surgery R 6 253.96

9280 Open reduction and fixation of nasal fracutures


9282 Manupulation and immobilisation of nasal fractur


9284 Musculofascial flap 62 Maxillo-facial and Oral Surgery R 0.00

9301 Casting of model in plaster per model 94 Prosthodontic R 36.52

9301 Casting of model in plaster per model 93 Dental Technician R 36.07

9301 Casting of model in plaster per model 92 Periodontics R 36.52

9301 Casting of model in plaster per model 64 Orthodontics R 36.52

9301 Casting of model in plaster per model 62 Maxillo-facial and Oral Surgery R 36.52

9301 Casting of model in plaster per model 54 General Dental Practice R 36.52

Page 50 of 109

9303 Casting of model in super hard stone per model



93 Dental Technician R 51.24









9305 Casting and trimming of study model per model










9305 Casting and trimming of study model per model /


9307 Casting and trimming of gnathostatic study model

per model 94 Prosthodontic R 124.84


per model 93 Dental Technician R 123.26


per model 92 Periodontics R 124.84


per model 64 Orthodontics R 124.84


per model 62 Maxillo-facial and Oral Surgery R 124.84


per model 54 General Dental Practice R 124.84

9309 New trimmed base to supplied model per model


Page 51 of 109











9311 Trimming of supplied model per model 94 Prosthodontic R 26.74

9311 Trimming of supplied model per model 93 Dental Technician R 26.52

9311 Trimming of supplied model per model 92 Periodontics R 26.74

9311 Trimming of supplied model per model 64 Orthodontics R 26.74

9311 Trimming of supplied model per model 62 Maxillo-facial and Oral Surgery R 26.74

9311 Trimming of supplied model per model 54 General Dental Practice R 26.74

9312 Gingival tissue mask per impression (incl. material










9313 Duplicating model per model 94 Prosthodontic R 111.46

9313 Duplicating model per model 93 Dental Technician R 110.00

9313 Duplicating model per model 92 Periodontics R 111.46

9313 Duplicating model per model 64 Orthodontics R 111.46

9313 Duplicating model per model 62 Maxillo-facial and Oral Surgery R 111.46

9313 Duplicating model per model 54 General Dental Practice R 111.46

9314 Refractory model per unit (including material & duplicating) 94 Prosthodontic R 109.43

9314 Refractory model per unit (including material & duplicating) 93 Dental Technician R 108.09

9314 Refractory model per unit (including material & duplicating) 62 Maxillo-facial and Oral Surgery R 109.43

Page 52 of 109

9314 Refractory model per unit (including material & duplicating) 54 General Dental Practice R 109.43

9315 Models and dup models for crown & bridge work

inclusive of one removable die 94 Prosthodontic R 151.80


inclusive of one removable die 93 Dental Technician R 149.78


inclusive of one removable die 92 Periodontics R 151.80


inclusive of one removable die 64 Orthodontics R 151.80


inclusive of one removable die 62 Maxillo-facial and Oral Surgery R 151.80


inclusive of one removable die 54 General Dental Practice R 151.80

9317 Sectional models for crown & bridge work inclusive

of one removable die 94 Prosthodontic R 134.61


of one removable die 93 Dental Technician R 132.70


of one removable die 92 Periodontics R 134.61


of one removable die 64 Orthodontics R 134.61


of one removable die 62 Maxillo-facial and Oral Surgery R 134.61


of one removable die 54 General Dental Practice R 134.61

9319 Each additional die for items 9315 & 9317 per die












Page 53 of 109

9320 Pindex or indexed model tray per die 94 Prosthodontic R 34.61

9320 Pindex or indexed model tray per die 93 Dental Technician R 34.15

9320 Pindex or indexed model tray per die 92 Periodontics R 34.61

9320 Pindex or indexed model tray per die 64 Orthodontics R 34.61

9320 Pindex or indexed model tray per die 62 Maxillo-facial and Oral Surgery R 34.61

9320 Pindex or indexed model tray per die 54 General Dental Practice R 34.61

9321 Occlusion block per block 94 Prosthodontic R 132.58

9321 Occlusion block per block 93 Dental Technician R 130.78

9321 Occlusion block per block 92 Periodontics R 132.58

9321 Occlusion block per block 64 Orthodontics R 132.58

9321 Occlusion block per block 62 Maxillo-facial and Oral Surgery R 132.58

9321 Occlusion block per block 54 General Dental Practice R 132.58

9323 Occlusion block on baseplate per block 94 Prosthodontic R 167.08

9323 Occlusion block on baseplate per block 93 Dental Technician R 165.05

9323 Occlusion block on baseplate per block 92 Periodontics R 167.08

9323 Occlusion block on baseplate per block 64 Orthodontics R 167.08

9323 Occlusion block on baseplate per block 62 Maxillo-facial and Oral Surgery R 167.08

9323 Occlusion block on baseplate per block 54 General Dental Practice R 167.08

9327 Infection control per impression in imp. material












9329 Fit & supply of disposable articulator (including cost of articulator) 94 Prosthodontic R 65.17

9329 Fit & supply of disposable articulator (including cost of articulator) 93 Dental Technician R 64.61

9329 Fit & supply of disposable articulator (including cost of articulator) 64 Orthodontics R 65.17

9329 Fit & supply of disposable articulator (including cost of articulator) 62 Maxillo-facial and Oral Surgery R 65.17

Page 54 of 109

9329 Fit & supply of disposable articulator (including cost of articulator) 54 General Dental Practice R 65.17

9330 Delivery charge per completed procedure 94 Prosthodontic R 69.10

9330 Delivery charge per completed procedure 93 Dental Technician R 68.20

9330 Delivery charge per completed procedure 92 Periodontics R 69.10

9330 Delivery charge per completed procedure 64 Orthodontics R 69.10

9330 Delivery charge per completed procedure 62 Maxillo-facial and Oral Surgery R 69.10

9330 Delivery charge per completed procedure 54 General Dental Practice R 69.10

9331 Full upper and lower dentures. 94 Prosthodontic R 1 781.47

9331 Full upper and lower dentures. 93 Dental Technician R 1 759.90

9331 Full upper and lower dentures. 92 Periodontics R 1 781.47

9331 Full upper and lower dentures. 64 Orthodontics R 1 781.47

9331 Full upper and lower dentures. 62 Maxillo-facial and Oral Surgery R 1 781.47

9331 Full upper and lower dentures. 54 General Dental Practice R 1 781.47

9333 Full upper or lower denture. 94 Prosthodontic R 1 042.48

9333 Full upper or lower denture. 93 Dental Technician R 1 029.78

9333 Full upper or lower denture. 92 Periodontics R 1 042.48

9333 Full upper or lower denture. 64 Orthodontics R 1 042.48

9333 Full upper or lower denture. 62 Maxillo-facial and Oral Surgery R 1 042.48

9333 Full upper or lower denture. 54 General Dental Practice R 1 042.48

9335 Set up and waxing of full upper and lower dentures.












9337 Set up and waxing of full upper or lower dentures.


9337 Set up and waxing of full upper or lower 93 Dental Technician R 405.84

Page 55 of 109

dentures.









9339 Waxing and finishing of full upper & lower dentures.



93 Dental Technician R 1 079.22









9341 Waxing and finishing of full upper or lower denture.












9343 Additional fee for dentures on adj. articulator. 94 Prosthodontic R 1 739.11

9343 Additional fee for dentures on adj. articulator. 93 Dental Technician R 1 718.32

9343 Additional fee for dentures on adj. articulator. 92 Periodontics R 1 739.11

9343 Additional fee for dentures on adj. articulator. 64 Orthodontics R 1 739.11

Page 56 of 109

9343 Additional fee for dentures on adj. articulator. 62 Maxillo-facial and Oral Surgery R 1 739.11

9343 Additional fee for dentures on adj. articulator. 54 General Dental Practice R 1 739.11

9345 Additional fee for immediate dentures - per tooth












9346 Additional fee for immediate dentures - not socketed












9347 Additional fee for each retry from the third retry










9347 Additional fee for each retry from the third 54 General Dental Practice R 395.62

Page 57 of 109

retry

9351 Set-up and finish one-tooth denture 94 Prosthodontic R 477.98

9351 Set-up and finish one-tooth denture 93 Dental Technician R 472.25

9351 Set-up and finish one-tooth denture 92 Periodontics R 477.98

9351 Set-up and finish one-tooth denture 64 Orthodontics R 477.98

9351 Set-up and finish one-tooth denture 62 Maxillo-facial and Oral Surgery R 477.98

9351 Set-up and finish one-tooth denture 54 General Dental Practice R 477.98

9352 Set-up and finish two-tooth denture 94 Prosthodontic R 508.77

9352 Set-up and finish two-tooth denture 93 Dental Technician R 502.59

9352 Set-up and finish two-tooth denture 92 Periodontics R 508.77

9352 Set-up and finish two-tooth denture 64 Orthodontics R 508.77

9352 Set-up and finish two-tooth denture 62 Maxillo-facial and Oral Surgery R 508.77

9352 Set-up and finish two-tooth denture 54 General Dental Practice R 508.77

9353 Set-up and finish three-tooth denture 94 Prosthodontic R 545.17

9353 Set-up and finish three-tooth denture 93 Dental Technician R 538.54

9353 Set-up and finish three-tooth denture 92 Periodontics R 545.17

9353 Set-up and finish three-tooth denture 64 Orthodontics R 545.17

9353 Set-up and finish three-tooth denture 62 Maxillo-facial and Oral Surgery R 545.17

9353 Set-up and finish three-tooth denture 54 General Dental Practice R 545.17

9354 Set-up and finish four-tooth denture 94 Prosthodontic R 575.85

9354 Set-up and finish four-tooth denture 93 Dental Technician R 568.99

9354 Set-up and finish four-tooth denture 92 Periodontics R 575.85

9354 Set-up and finish four-tooth denture 64 Orthodontics R 575.85

9354 Set-up and finish four-tooth denture 62 Maxillo-facial and Oral Surgery R 575.85

9354 Set-up and finish four-tooth denture 54 General Dental Practice R 575.85

9355 Set-up and finish five-tooth denture 94 Prosthodontic R 622.14

9355 Set-up and finish five-tooth denture 93 Dental Technician R 614.39

9355 Set-up and finish five-tooth denture 92 Periodontics R 622.14

9355 Set-up and finish five-tooth denture 64 Orthodontics R 622.14

9355 Set-up and finish five-tooth denture 62 Maxillo-facial and Oral Surgery R 622.14

9355 Set-up and finish five-tooth denture 54 General Dental Practice R 622.14

9356 Set-up and finish six-tooth denture 94 Prosthodontic R 743.04

Page 58 of 109

9356 Set-up and finish six-tooth denture 93 Dental Technician R 734.05

9356 Set-up and finish six-tooth denture 92 Periodontics R 743.04

9356 Set-up and finish six-tooth denture 64 Orthodontics R 743.04

9356 Set-up and finish six-tooth denture 62 Maxillo-facial and Oral Surgery R 743.04

9356 Set-up and finish six-tooth denture 54 General Dental Practice R 743.04

9357 Set-up and finish seven-tooth denture 94 Prosthodontic R 883.03

9357 Set-up and finish seven-tooth denture 93 Dental Technician R 872.48

9357 Set-up and finish seven-tooth denture 92 Periodontics R 883.03

9357 Set-up and finish seven-tooth denture 64 Orthodontics R 883.03

9357 Set-up and finish seven-tooth denture 62 Maxillo-facial and Oral Surgery R 883.03

9357 Set-up and finish seven-tooth denture 54 General Dental Practice R 883.03

9358 Set-up and finish eight-tooth denture 94 Prosthodontic R 936.86

9358 Set-up and finish eight-tooth denture 93 Dental Technician R 925.62

9358 Set-up and finish eight-tooth denture 92 Periodontics R 936.86

9358 Set-up and finish eight-tooth denture 64 Orthodontics R 936.86

9358 Set-up and finish eight-tooth denture 62 Maxillo-facial and Oral Surgery R 936.86

9358 Set-up and finish eight-tooth denture 54 General Dental Practice R 936.86

9359 Set-up and finish nine-tooth denture 94 Prosthodontic R 960.00

9359 Set-up and finish nine-tooth denture 93 Dental Technician R 948.32

9359 Set-up and finish nine-tooth denture 92 Periodontics R 960.00

9359 Set-up and finish nine-tooth denture 64 Orthodontics R 960.00

9359 Set-up and finish nine-tooth denture 62 Maxillo-facial and Oral Surgery R 960.00

9359 Set-up and finish nine-tooth denture 54 General Dental Practice R 960.00

9361 Set-up and waxing of one-tooth denture 94 Prosthodontic R 136.18

9361 Set-up and waxing of one-tooth denture 93 Dental Technician R 134.72

9361 Set-up and waxing of one-tooth denture 92 Periodontics R 136.18

9361 Set-up and waxing of one-tooth denture 64 Orthodontics R 136.18

9361 Set-up and waxing of one-tooth denture 62 Maxillo-facial and Oral Surgery R 136.18

9361 Set-up and waxing of one-tooth denture 54 General Dental Practice R 136.18

9362 Set-up and waxing of two-tooth denture 94 Prosthodontic R 165.05

9362 Set-up and waxing of two-tooth denture 93 Dental Technician R 163.14

9362 Set-up and waxing of two-tooth denture 92 Periodontics R 165.05

Page 59 of 109

9362 Set-up and waxing of two-tooth denture 64 Orthodontics R 165.05

9362 Set-up and waxing of two-tooth denture 62 Maxillo-facial and Oral Surgery R 165.05

9362 Set-up and waxing of two-tooth denture 54 General Dental Practice R 165.05

9363 Set-up and waxing of three-tooth denture 94 Prosthodontic R 187.98

9363 Set-up and waxing of three-tooth denture 93 Dental Technician R 185.84

9363 Set-up and waxing of three-tooth denture 92 Periodontics R 187.98

9363 Set-up and waxing of three-tooth denture 64 Orthodontics R 187.98

9363 Set-up and waxing of three-tooth denture 62 Maxillo-facial and Oral Surgery R 187.98

9363 Set-up and waxing of three-tooth denture 54 General Dental Practice R 187.98

9364 Set-up and waxing of four-tooth denture 94 Prosthodontic R 218.76

9364 Set-up and waxing of four-tooth denture 93 Dental Technician R 216.18

9364 Set-up and waxing of four-tooth denture 92 Periodontics R 218.76

9364 Set-up and waxing of four-tooth denture 64 Orthodontics R 218.76

9364 Set-up and waxing of four-tooth denture 62 Maxillo-facial and Oral Surgery R 218.76

9364 Set-up and waxing of four-tooth denture 54 General Dental Practice R 218.76

9365 Set-up and waxing of five-tooth denture 94 Prosthodontic R 241.91

9365 Set-up and waxing of five-tooth denture 93 Dental Technician R 238.99

9365 Set-up and waxing of five-tooth denture 92 Periodontics R 241.91

9365 Set-up and waxing of five-tooth denture 64 Orthodontics R 241.91

9365 Set-up and waxing of five-tooth denture 62 Maxillo-facial and Oral Surgery R 241.91

9365 Set-up and waxing of five-tooth denture 54 General Dental Practice R 241.91

9366 Set-up and waxing of six-tooth denture 94 Prosthodontic R 285.84

9366 Set-up and waxing of six-tooth denture 93 Dental Technician R 282.59

9366 Set-up and waxing of six-tooth denture 92 Periodontics R 285.84

9366 Set-up and waxing of six-tooth denture 64 Orthodontics R 285.84

9366 Set-up and waxing of six-tooth denture 62 Maxillo-facial and Oral Surgery R 285.84

9366 Set-up and waxing of six-tooth denture 54 General Dental Practice R 285.84

9367 Set-up and waxing of seven-tooth denture 94 Prosthodontic R 314.61

9367 Set-up and waxing of seven-tooth denture 93 Dental Technician R 311.01

9367 Set-up and waxing of seven-tooth denture 92 Periodontics R 314.61

9367 Set-up and waxing of seven-tooth denture 64 Orthodontics R 314.61

9367 Set-up and waxing of seven-tooth denture 62 Maxillo-facial and Oral Surgery R 314.61

Page 60 of 109

9367 Set-up and waxing of seven-tooth denture 54 General Dental Practice R 314.61

9368 Set-up and waxing of eight-tooth denture 94 Prosthodontic R 337.76

9368 Set-up and waxing of eight-tooth denture 93 Dental Technician R 333.83

9368 Set-up and waxing of eight-tooth denture 92 Periodontics R 337.76

9368 Set-up and waxing of eight-tooth denture 64 Orthodontics R 337.76

9368 Set-up and waxing of eight-tooth denture 62 Maxillo-facial and Oral Surgery R 337.76

9368 Set-up and waxing of eight-tooth denture 54 General Dental Practice R 337.76

9369 Set-up and waxing of nine-tooth denture 94 Prosthodontic R 360.90

9369 Set-up and waxing of nine-tooth denture 93 Dental Technician R 356.52

9369 Set-up and waxing of nine-tooth denture 92 Periodontics R 360.90

9369 Set-up and waxing of nine-tooth denture 64 Orthodontics R 360.90

9369 Set-up and waxing of nine-tooth denture 62 Maxillo-facial and Oral Surgery R 360.90

9369 Set-up and waxing of nine-tooth denture 54 General Dental Practice R 360.90

9371 Waxing and finishing of one-tooth denture 94 Prosthodontic R 374.38

9371 Waxing and finishing of one-tooth denture 93 Dental Technician R 369.89

9371 Waxing and finishing of one-tooth denture 92 Periodontics R 374.38

9371 Waxing and finishing of one-tooth denture 64 Orthodontics R 374.38

9371 Waxing and finishing of one-tooth denture 62 Maxillo-facial and Oral Surgery R 374.38

9371 Waxing and finishing of one-tooth denture 54 General Dental Practice R 374.38

9372 Waxing and finishing of two-tooth denture 94 Prosthodontic R 381.91

9372 Waxing and finishing of two-tooth denture 93 Dental Technician R 377.31

9372 Waxing and finishing of two-tooth denture 92 Periodontics R 381.91

9372 Waxing and finishing of two-tooth denture 64 Orthodontics R 381.91

9372 Waxing and finishing of two-tooth denture 62 Maxillo-facial and Oral Surgery R 381.91

9372 Waxing and finishing of two-tooth denture 54 General Dental Practice R 381.91

9373 Waxing and finishing of three-tooth denture 94 Prosthodontic R 387.76

9373 Waxing and finishing of three-tooth denture 93 Dental Technician R 383.03

9373 Waxing and finishing of three-tooth denture 92 Periodontics R 387.76

9373 Waxing and finishing of three-tooth denture 64 Orthodontics R 387.76

9373 Waxing and finishing of three-tooth denture 62 Maxillo-facial and Oral Surgery R 387.76

9373 Waxing and finishing of three-tooth denture 54 General Dental Practice R 387.76

9374 Waxing and finishing of four-tooth denture 94 Prosthodontic R 395.62

Page 61 of 109

9374 Waxing and finishing of four-tooth denture 93 Dental Technician R 390.67

9374 Waxing and finishing of four-tooth denture 92 Periodontics R 395.62

9374 Waxing and finishing of four-tooth denture 64 Orthodontics R 395.62

9374 Waxing and finishing of four-tooth denture 62 Maxillo-facial and Oral Surgery R 395.62

9374 Waxing and finishing of four-tooth denture 54 General Dental Practice R 395.62

9375 Waxing and finishing of five-tooth denture 94 Prosthodontic R 410.79

9375 Waxing and finishing of five-tooth denture 93 Dental Technician R 405.84

9375 Waxing and finishing of five-tooth denture 92 Periodontics R 410.79

9375 Waxing and finishing of five-tooth denture 64 Orthodontics R 410.79

9375 Waxing and finishing of five-tooth denture 62 Maxillo-facial and Oral Surgery R 410.79

9375 Waxing and finishing of five-tooth denture 54 General Dental Practice R 410.79

9376 Waxing and finishing of six-tooth denture 94 Prosthodontic R 426.18

9376 Waxing and finishing of six-tooth denture 93 Dental Technician R 421.01

9376 Waxing and finishing of six-tooth denture 92 Periodontics R 426.18

9376 Waxing and finishing of six-tooth denture 64 Orthodontics R 426.18

9376 Waxing and finishing of six-tooth denture 62 Maxillo-facial and Oral Surgery R 426.18

9376 Waxing and finishing of six-tooth denture 54 General Dental Practice R 426.18

9377 Waxing and finishing of seven-tooth denture 94 Prosthodontic R 531.69

9377 Waxing and finishing of seven-tooth denture 93 Dental Technician R 525.28

9377 Waxing and finishing of seven-tooth denture 92 Periodontics R 531.69

9377 Waxing and finishing of seven-tooth denture 64 Orthodontics R 531.69

9377 Waxing and finishing of seven-tooth denture 62 Maxillo-facial and Oral Surgery R 531.69

9377 Waxing and finishing of seven-tooth denture 54 General Dental Practice R 531.69

9378 Set-up and finishing of eight-tooth denture 94 Prosthodontic R 552.93

9378 Set-up and finishing of eight-tooth denture 93 Dental Technician R 546.19

9378 Set-up and finishing of eight-tooth denture 92 Periodontics R 552.93

9378 Set-up and finishing of eight-tooth denture 64 Orthodontics R 552.93

9378 Set-up and finishing of eight-tooth denture 62 Maxillo-facial and Oral Surgery R 552.93

9378 Set-up and finishing of eight-tooth denture 54 General Dental Practice R 552.93

9379 Set-up and finishing of nine-tooth denture 94 Prosthodontic R 583.59

9379 Set-up and finishing of nine-tooth denture 93 Dental Technician R 576.52

9379 Set-up and finishing of nine-tooth denture 92 Periodontics R 583.59

Page 62 of 109

9379 Set-up and finishing of nine-tooth denture 64 Orthodontics R 583.59

9379 Set-up and finishing of nine-tooth denture 62 Maxillo-facial and Oral Surgery R 583.59

9379 Set-up and finishing of nine-tooth denture 54 General Dental Practice R 583.59

9380 Set-up and finishing of ten (or more) tooth denture








9383 Additional fee for finishing off in tooth colour bridge material 94 Prosthodontic R 92.14

9383 Additional fee for finishing off in tooth colour bridge material 93 Dental Technician R 91.13

9383 Additional fee for finishing off in tooth colour bridge material 92 Periodontics R 92.14

9383 Additional fee for finishing off in tooth colour bridge material 64 Orthodontics R 92.14

9383 Additional fee for finishing off in tooth colour bridge material 62 Maxillo-facial and Oral Surgery R 92.14

9383 Additional fee for finishing off in tooth colour bridge material 54 General Dental Practice R 92.14

9385 Additional fee for supplying finished denture duplicate model 94 Prosthodontic R 174.84

9385 Additional fee for supplying finished denture duplicate model 93 Dental Technician R 172.59

9385 Additional fee for supplying finished denture duplicate model 92 Periodontics R 174.84

9385 Additional fee for supplying finished denture duplicate model 64 Orthodontics R 174.84

9385 Additional fee for supplying finished denture duplicate model 62 Maxillo-facial and Oral Surgery R 174.84

9385 Additional fee for supplying finished denture duplicate model 54 General Dental Practice R 174.84

9391 Basic charge which includes repair of one fracture

of addition of one tooth 94 Prosthodontic R 303.26


of addition of one tooth 93 Dental Technician R 299.78


of addition of one tooth 92 Periodontics R 303.26


of addition of one tooth 64 Orthodontics R 303.26


of addition of one tooth 62 Maxillo-facial and Oral Surgery R 303.26


of addition of one tooth 54 General Dental Practice R 303.26

Page 63 of 109

9393 Additional charge for each additional fracture tooth or clasp 94 Prosthodontic R 94.16

9393 Additional charge for each additional fracture tooth or clasp 93 Dental Technician R 92.81

9393 Additional charge for each additional fracture tooth or clasp 92 Periodontics R 94.16

9393 Additional charge for each additional fracture tooth or clasp 64 Orthodontics R 94.16

9393 Additional charge for each additional fracture tooth or clasp 62 Maxillo-facial and Oral Surgery R 94.16

9393 Additional charge for each additional fracture tooth or clasp 54 General Dental Practice R 94.16

9395 Additional fee for using wire strengthener 94 Prosthodontic R 107.42

9395 Additional fee for using wire strengthener 93 Dental Technician R 106.18

9395 Additional fee for using wire strengthener 92 Periodontics R 107.42

9395 Additional fee for using wire strengthener 64 Orthodontics R 107.42

9395 Additional fee for using wire strengthener 62 Maxillo-facial and Oral Surgery R 107.42

9395 Additional fee for using wire strengthener 54 General Dental Practice R 107.42

9397 Additional fee for using pre-formed strengthener

excluding cost of stengthener 94 Prosthodontic R 115.05


excluding cost of stengthener 93 Dental Technician R 113.82


excluding cost of stengthener 92 Periodontics R 115.05


excluding cost of stengthener 64 Orthodontics R 115.05


excluding cost of stengthener 62 Maxillo-facial and Oral Surgery R 115.05


excluding cost of stengthener 54 General Dental Practice R 115.05

9398 Additional fee for using any other mesh strengthener

not mentioned in 9396 and 9398 94 Prosthodontic R 182.36


not mentioned in 9396 and 9398 93 Dental Technician R 180.12


not mentioned in 9396 and 9398 92 Periodontics R 182.36


not mentioned in 9396 and 9398 64 Orthodontics R 182.36


not mentioned in 9396 and 9398 62 Maxillo-facial and Oral Surgery R 182.36


not mentioned in 9396 and 9398 54 General Dental Practice R 182.36

Page 64 of 109

9401 Clear palate *Clear palate 94 Prosthodontic R 134.61

9401 Clear palate *Clear palate 93 Dental Technician R 132.70

9401 Clear palate *Clear palate 92 Periodontics R 134.61

9401 Clear palate *Clear palate 64 Orthodontics R 134.61

9401 Clear palate *Clear palate 62 Maxillo-facial and Oral Surgery R 134.61

9401 Clear palate *Clear palate 54 General Dental Practice R 134.61

9403 Dox grinding of upper and lower dentures 94 Prosthodontic R 170.79

9403 Dox grinding of upper and lower dentures 93 Dental Technician R 168.66

9403 Dox grinding of upper and lower dentures 92 Periodontics R 170.79

9403 Dox grinding of upper and lower dentures 64 Orthodontics R 170.79

9403 Dox grinding of upper and lower dentures 62 Maxillo-facial and Oral Surgery R 170.79

9403 Dox grinding of upper and lower dentures 54 General Dental Practice R 170.79

9405 Inlay to artificial tooth one surface only per inlay

excluding cost of gold 94 Prosthodontic R 293.82


excluding cost of gold 93 Dental Technician R 290.11


excluding cost of gold 92 Periodontics R 293.82


excluding cost of gold 64 Orthodontics R 293.82


excluding cost of gold 62 Maxillo-facial and Oral Surgery R 293.82


excluding cost of gold 54 General Dental Practice R 293.82

9406 Inlay to artificial tooth multi-surfaces e.g. horseshoe or l-type inlay per inlay 94 Prosthodontic R 376.29

9406 Inlay to artificial tooth multi-surfaces e.g. horseshoe or l-type inlay per inlay 93 Dental Technician R 371.80

9406 Inlay to artificial tooth multi-surfaces e.g. horseshoe or l-type inlay per inlay 92 Periodontics R 376.29

9406 Inlay to artificial tooth multi-surfaces e.g. horseshoe or l-type inlay per inlay 64 Orthodontics R 376.29

9406 Inlay to artificial tooth multi-surfaces e.g. horseshoe or l-type inlay per inlay 62 Maxillo-facial and Oral Surgery R 376.29

9406 Inlay to artificial tooth multi-surfaces e.g. horseshoe or l-type inlay per inlay 54 General Dental Practice R 376.29

9407 Heka base technique per upper or lower denture




Page 65 of 109









9409 Frego frame (excluding cost of material) 94 Prosthodontic R 174.84

9409 Frego frame (excluding cost of material) 93 Dental Technician R 172.59

9409 Frego frame (excluding cost of material) 92 Periodontics R 174.84

9409 Frego frame (excluding cost of material) 64 Orthodontics R 174.84

9409 Frego frame (excluding cost of material) 62 Maxillo-facial and Oral Surgery R 174.84

9409 Frego frame (excluding cost of material) 54 General Dental Practice R 174.84

9410 Bl tray (Excluding cost of material) 94 Prosthodontic R 193.94

9410 Bl tray (Excluding cost of material) 93 Dental Technician R 191.69

9410 Bl tray (Excluding cost of material) 64 Orthodontics R 193.94

9410 Bl tray (Excluding cost of material) 62 Maxillo-facial and Oral Surgery R 193.94

9410 Bl tray (Excluding cost of material) 54 General Dental Practice R 193.94

9411 Template per upper or lower denture 94 Prosthodontic R 481.80

9411 Template per upper or lower denture 93 Dental Technician R 476.07

9411 Template per upper or lower denture 92 Periodontics R 481.80

9411 Template per upper or lower denture 64 Orthodontics R 481.80

9411 Template per upper or lower denture 62 Maxillo-facial and Oral Surgery R 481.80

9411 Template per upper or lower denture 54 General Dental Practice R 481.80

9413 Reline of single denture 94 Prosthodontic R 606.52

9413 Reline of single denture 93 Dental Technician R 599.22

9413 Reline of single denture 92 Periodontics R 606.52

9413 Reline of single denture 64 Orthodontics R 606.52

9413 Reline of single denture 62 Maxillo-facial and Oral Surgery R 606.52

9413 Reline of single denture 54 General Dental Practice R 606.52

9415 Remodel of single denture 94 Prosthodontic R 932.93

9415 Remodel of single denture 93 Dental Technician R 921.69

Page 66 of 109

9415 Remodel of single denture 92 Periodontics R 932.93

9415 Remodel of single denture 64 Orthodontics R 932.93

9415 Remodel of single denture 62 Maxillo-facial and Oral Surgery R 932.93

9415 Remodel of single denture 54 General Dental Practice R 932.93

9417 Soft base reline per denture excluding soft base

material 94 Prosthodontic R 1 532.03


material 93 Dental Technician R 1 513.37


material 92 Periodontics R 1 532.03


material 64 Orthodontics R 1 532.03


material 62 Maxillo-facial and Oral Surgery R 1 532.03


material 54 General Dental Practice R 1 532.03

9419 Soft base to new denture per denture excluding soft

base material 94 Prosthodontic R 1 532.03


base material 93 Dental Technician R 1 513.37


base material 92 Periodontics R 1 532.03


base material 64 Orthodontics R 1 532.03


base material 62 Maxillo-facial and Oral Surgery R 1 532.03


base material 54 General Dental Practice R 1 532.03

9421 Gum tinting per denture 94 Prosthodontic R 284.15

9421 Gum tinting per denture 92 Periodontics R 284.15

9421 Gum tinting per denture 64 Orthodontics R 284.15

9421 Gum tinting per denture 62 Maxillo-facial and Oral Surgery R 284.15

9421 Gum tinting per denture 54 General Dental Practice R 284.15

9423 Lingual or palatal bar (excluding cost of material)


9423 Lingual or palatal bar (excluding cost of 93 Dental Technician R 225.73

Page 67 of 109

material)









9425 Cleaning & polishing of existing denture per denture












9427 Mesh strengthener (excluding cost of material)












9429 Theatre/Consultation out of laboratory per hour

part thereof 94 Prosthodontic R 395.62

9429 Theatre/Consultation out of laboratory per hour

part thereof 93 Dental Technician R 390.67

Page 68 of 109

9429 Theatre/Consultation out of laboratory per hour or

part thereof 92 Periodontics R 395.62


part thereof 64 Orthodontics R 395.62


part thereof 62 Maxillo-facial and Oral Surgery R 395.62


part thereof 54 General Dental Practice R 395.62

9431 Special tray acrylic each 94 Prosthodontic R 149.78

9431 Special tray acrylic each 93 Dental Technician R 147.87

9431 Special tray acrylic each 92 Periodontics R 149.78

9431 Special tray acrylic each 64 Orthodontics R 149.78

9431 Special tray acrylic each 62 Maxillo-facial and Oral Surgery R 149.78

9431 Special tray acrylic each 54 General Dental Practice R 149.78

9432 Special Tray Light cure (including material) 94 Prosthodontic R 163.26

9432 Special Tray Light cure (including material) 93 Dental Technician R 161.24

9432 Special Tray Light cure (including material) 92 Periodontics R 163.26

9432 Special Tray Light cure (including material) 64 Orthodontics R 163.26

9432 Special Tray Light cure (including material) 62 Maxillo-facial and Oral Surgery R 163.26

9432 Special Tray Light cure (including material) 54 General Dental Practice R 163.26

9433 Special tray in base plate material each 94 Prosthodontic R 153.59

9433 Special tray in base plate material each 93 Dental Technician R 151.69

9433 Special tray in base plate material each 92 Periodontics R 153.59

9433 Special tray in base plate material each 64 Orthodontics R 153.59

9433 Special tray in base plate material each 62 Maxillo-facial and Oral Surgery R 153.59

9433 Special tray in base plate material each 54 General Dental Practice R 153.59

9435 Provision of single arm clasp to partial denture








Page 69 of 109





9437 Provision of double arm clasp to partial denture












9439 Provision of single arm clasp with rest to partial

denture 94 Prosthodontic R 176.52


denture 93 Dental Technician R 174.50


denture 92 Periodontics R 176.52


denture 64 Orthodontics R 176.52


denture 62 Maxillo-facial and Oral Surgery R 176.52


denture 54 General Dental Practice R 176.52

9441 Provision of double arm clasp with rest to partial

denture 94 Prosthodontic R 237.98


denture 93 Dental Technician R 235.17


denture 92 Periodontics R 237.98


denture 64 Orthodontics R 237.98


denture 62 Maxillo-facial and Oral Surgery R 237.98

Page 70 of 109


denture 54 General Dental Practice R 237.98

9443 Provision of preformed clasps or Roach ball clasp to

partial denture (excluding cost of clasp) 94 Prosthodontic R 101.69


partial denture (excluding cost of clasp) 93 Dental Technician R 100.56


partial denture (excluding cost of clasp) 92 Periodontics R 101.69


partial denture (excluding cost of clasp) 64 Orthodontics R 101.69


partial denture (excluding cost of clasp) 62 Maxillo-facial and Oral Surgery R 101.69


partial denture (excluding cost of clasp) 54 General Dental Practice R 101.69

9445 Provision of rest only to partial denture 94 Prosthodontic R 101.69

9445 Provision of rest only to partial denture 93 Dental Technician R 100.56

9445 Provision of rest only to partial denture 92 Periodontics R 101.69

9445 Provision of rest only to partial denture 64 Orthodontics R 101.69

9445 Provision of rest only to partial denture 62 Maxillo-facial and Oral Surgery R 101.69

9445 Provision of rest only to partial denture 54 General Dental Practice R 101.69

9447 Provision of cast clasp to partial denture 94 Prosthodontic R 356.97

9447 Provision of cast clasp to partial denture 93 Dental Technician R 352.81

9447 Provision of cast clasp to partial denture 54 General Dental Practice R 356.97

9448 Model of impression inside occlusion block or wax












9450 15% surcharge on acrylic work finished to a cobalt or gold prosthesis 94 Prosthodontic R 136.18

Page 71 of 109

chrome

9450 15% surcharge on acrylic work finished to a chrome

cobalt or gold prosthesis 93 Dental Technician R 134.72


cobalt or gold prosthesis 64 Orthodontics R 136.18


cobalt or gold prosthesis 62 Maxillo-facial and Oral Surgery R 136.18


cobalt or gold prosthesis 54 General Dental Practice R 136.18

9451 Metal base for full upper or full lower denture each












9453 Basic charge excluding models & any special trays












9455 Additional charge for each one arm clasp 94 Prosthodontic R 44.16

9455 Additional charge for each one arm clasp 93 Dental Technician R 43.48

9455 Additional charge for each one arm clasp 92 Periodontics R 44.16

9455 Additional charge for each one arm clasp 64 Orthodontics R 44.16

Page 72 of 109

9455 Additional charge for each one arm clasp 62 Maxillo-facial and Oral Surgery R 44.16

9455 Additional charge for each one arm clasp 54 General Dental Practice R 44.16

9457 Additional charge for each Roach clasp 94 Prosthodontic R 74.84

9457 Additional charge for each Roach clasp 93 Dental Technician R 73.94

9457 Additional charge for each Roach clasp 92 Periodontics R 74.84

9457 Additional charge for each Roach clasp 64 Orthodontics R 74.84

9457 Additional charge for each Roach clasp 62 Maxillo-facial and Oral Surgery R 74.84

9457 Additional charge for each Roach clasp 54 General Dental Practice R 74.84

9459 Additional charge for each rest 94 Prosthodontic R 40.23

9459 Additional charge for each rest 93 Dental Technician R 39.77

9459 Additional charge for each rest 92 Periodontics R 40.23

9459 Additional charge for each rest 64 Orthodontics R 40.23

9459 Additional charge for each rest 62 Maxillo-facial and Oral Surgery R 40.23

9459 Additional charge for each rest 54 General Dental Practice R 40.23

9461 Additional charge for continuous clasp per tooth












9463 Additional charge for lingual bar per tooth passed








9463 Additional charge for lingual bar per tooth 62 Maxillo-facial and Oral Surgery R 103.71

Page 73 of 109

passed



9465 Additional charge for palatal bar 94 Prosthodontic R 165.05

9465 Additional charge for palatal bar 93 Dental Technician R 163.14

9465 Additional charge for palatal bar 92 Periodontics R 165.05

9465 Additional charge for palatal bar 64 Orthodontics R 165.05

9465 Additional charge for palatal bar 62 Maxillo-facial and Oral Surgery R 165.05

9465 Additional charge for palatal bar 54 General Dental Practice R 165.05

9467 Additional charge for onlay 94 Prosthodontic R 439.67

9467 Additional charge for onlay 93 Dental Technician R 434.27

9467 Additional charge for onlay 92 Periodontics R 439.67

9467 Additional charge for onlay 64 Orthodontics R 439.67

9467 Additional charge for onlay 62 Maxillo-facial and Oral Surgery R 439.67

9467 Additional charge for onlay 54 General Dental Practice R 439.67

9469 Additional charge for saddle with finishing line 94 Prosthodontic R 72.92

9469 Additional charge for saddle with finishing line 93 Dental Technician R 72.03

9469 Additional charge for saddle with finishing line 92 Periodontics R 72.92

9469 Additional charge for saddle with finishing line 64 Orthodontics R 72.92

9469 Additional charge for saddle with finishing line 62 Maxillo-facial and Oral Surgery R 72.92

9469 Additional charge for saddle with finishing line 54 General Dental Practice R 72.92

9471 Additional charge for saddle without finishing line












9473 Additional charge for horseshoe saddle per 94 Prosthodontic R 72.92

Page 74 of 109

tooth

9473 Additional charge for horseshoe saddle per tooth










9475 Additional charge for fitting of tooth for metal backing per tooth 94 Prosthodontic R 49.88

9475 Additional charge for fitting of tooth for metal backing per tooth 93 Dental Technician R 49.32

9475 Additional charge for fitting of tooth for metal backing per tooth 92 Periodontics R 49.88

9475 Additional charge for fitting of tooth for metal backing per tooth 64 Orthodontics R 49.88

9475 Additional charge for fitting of tooth for metal backing per tooth 62 Maxillo-facial and Oral Surgery R 49.88

9475 Additional charge for fitting of tooth for metal backing per tooth 54 General Dental Practice R 49.88

9477 Additional charge for gold plating per denture (includes a surcharge of R9-30 for gold) 93 Dental Technician R 0.00

9477 Additional charge for gold plating per denture (includes a surcharge of R9-30 for gold) 54 General Dental Practice R 0.00

9479 Additional charge for fitting one distal-extension

hinge (excluding cost of hinge) 94 Prosthodontic R 147.75


hinge (excluding cost of hinge) 93 Dental Technician R 145.95


hinge (excluding cost of hinge) 92 Periodontics R 147.75


hinge (excluding cost of hinge) 64 Orthodontics R 147.75


hinge (excluding cost of hinge) 62 Maxillo-facial and Oral Surgery R 147.75


hinge (excluding cost of hinge) 54 General Dental Practice R 147.75

9480 Additional charge per milled edge per tooth 94 Prosthodontic R 128.65

9480 Additional charge per milled edge per tooth 93 Dental Technician R 127.08

9480 Additional charge per milled edge per tooth 92 Periodontics R 128.65

9480 Additional charge per milled edge per tooth 64 Orthodontics R 128.65

Page 75 of 109

9480 Additional charge per milled edge per tooth 62 Maxillo-facial and Oral Surgery R 128.65

9480 Additional charge per milled edge per tooth 54 General Dental Practice R 128.65

9481 Additional charge for each soldering joint 94 Prosthodontic R 180.68

9481 Additional charge for each soldering joint 93 Dental Technician R 178.31

9481 Additional charge for each soldering joint 92 Periodontics R 180.68

9481 Additional charge for each soldering joint 64 Orthodontics R 180.68

9481 Additional charge for each soldering joint 62 Maxillo-facial and Oral Surgery R 180.68

9481 Additional charge for each soldering joint 54 General Dental Practice R 180.68

9483 Additional charge for soldering retention 94 Prosthodontic R 218.76

9483 Additional charge for soldering retention 93 Dental Technician R 216.18

9483 Additional charge for soldering retention 92 Periodontics R 218.76

9483 Additional charge for soldering retention 64 Orthodontics R 218.76

9483 Additional charge for soldering retention 62 Maxillo-facial and Oral Surgery R 218.76

9483 Additional charge for soldering retention 54 General Dental Practice R 218.76

9485 Additional charge for each additional retention soldering joint












9487 Additional charge for each welding joint 94 Prosthodontic R 220.79

9487 Additional charge for each welding joint 93 Dental Technician R 218.10

9487 Additional charge for each welding joint 92 Periodontics R 220.79

9487 Additional charge for each welding joint 64 Orthodontics R 220.79

9487 Additional charge for each welding joint 62 Maxillo-facial and Oral Surgery R 220.79

9487 Additional charge for each welding joint 54 General Dental Practice R 220.79

9489 Additional charge for fitting swing lock including cost of materials to be determined


Page 76 of 109

by dentist & technician

9489 Additional charge for fitting swing lock including cost of materials to be determined by dentist & technician


9491 Additional charge for each backing cost 94 Prosthodontic R 176.52

9491 Additional charge for each backing cost 93 Dental Technician R 174.50

9491 Additional charge for each backing cost 92 Periodontics R 176.52

9491 Additional charge for each backing cost 64 Orthodontics R 176.52

9491 Additional charge for each backing cost 62 Maxillo-facial and Oral Surgery R 176.52

9491 Additional charge for each backing cost 54 General Dental Practice R 176.52

9493 Add. charge for each Steel's backing or ponting

cast (plastic work to be charged in addition)

















9495 Dental Technicians Fees 94 Prosthodontic R 278.43

9495 Dental Technicians Fees 93 Dental Technician R 274.94

9495 Dental Technicians Fees 92 Periodontics R 278.43

9495 Dental Technicians Fees 64 Orthodontics R 278.43

9495 Dental Technicians Fees 62 Maxillo-facial and Oral Surgery R 278.43

9495 Dental Technicians Fees 54 General Dental Practice R 278.43







Page 77 of 109

9501 Ceramic jacket crown 94 Prosthodontic R 1 215.17

9501 Ceramic jacket crown 93 Dental Technician R 1 200.57

9501 Ceramic jacket crown 92 Periodontics R 1 215.17

9501 Ceramic jacket crown 64 Orthodontics R 1 215.17

9501 Ceramic jacket crown 62 Maxillo-facial and Oral Surgery R 1 215.17

9501 Ceramic jacket crown 54 General Dental Practice R 1 215.17

9502 Ceramic metal substitute coping (incl. material)




9502 Ceramic metal substitute coping (Incl. material)




9505 Porcelain veneer crown - non-precious metal 94 Prosthodontic R 1 605.06

9505 Porcelain veneer crown - non-precious metal 93 Dental Technician R 1 585.52

9505 Porcelain veneer crown - non-precious metal 92 Periodontics R 1 605.06

9505 Porcelain veneer crown - non-precious metal 64 Orthodontics R 1 605.06

9505 Porcelain veneer crown - non-precious metal 62 Maxillo-facial and Oral Surgery R 1 605.06

9505 Porcelain veneer crown - non-precious metal 54 General Dental Practice R 1 605.06

9507 Additional charge for each soldering joint 94 Prosthodontic R 328.43

9507 Additional charge for each soldering joint 93 Dental Technician R 324.38

9507 Additional charge for each soldering joint 92 Periodontics R 328.43

9507 Additional charge for each soldering joint 64 Orthodontics R 328.43

9507 Additional charge for each soldering joint 62 Maxillo-facial and Oral Surgery R 328.43

9507 Additional charge for each soldering joint 54 General Dental Practice R 328.43

9511 Inlay in porcelain veneer crown 94 Prosthodontic R 529.66

9511 Inlay in porcelain veneer crown 93 Dental Technician R 523.48

9511 Inlay in porcelain veneer crown 92 Periodontics R 529.66

9511 Inlay in porcelain veneer crown 64 Orthodontics R 529.66

9511 Inlay in porcelain veneer crown 62 Maxillo-facial and Oral Surgery R 529.66

9511 Inlay in porcelain veneer crown 54 General Dental Practice R 529.66

9512 Ceramic Veneer/Bridge retainer 94 Prosthodontic R 1 245.96

Page 78 of 109

9512 Ceramic Veneer/Bridge retainer 93 Dental Technician R 1 230.90

9512 Ceramic Veneer/Bridge retainer 92 Periodontics R 1 245.96

9512 Ceramic Veneer/Bridge retainer 64 Orthodontics R 1 245.96

9512 Ceramic Veneer/Bridge retainer 62 Maxillo-facial and Oral Surgery R 1 245.96

9512 Ceramic Veneer/Bridge retainer 54 General Dental Practice R 1 245.96

9515 Porcelain shoulder per unit (not applicable to pontics)












9520 Additional fee for crown & bridge work performed












9521 Full metal crown 94 Prosthodontic R 992.70

9521 Full metal crown 93 Dental Technician R 980.68

9521 Full metal crown 92 Periodontics R 992.70

9521 Full metal crown 64 Orthodontics R 992.70

9521 Full metal crown 62 Maxillo-facial and Oral Surgery R 992.70

9521 Full metal crown 54 General Dental Practice R 992.70

9524 Indirect composite resin inlay 94 Prosthodontic R 268.66

Page 79 of 109

9524 Indirect composite resin inlay 93 Dental Technician R 265.61

9524 Indirect composite resin inlay 92 Periodontics R 268.66

9524 Indirect composite resin inlay 64 Orthodontics R 268.66

9524 Indirect composite resin inlay 62 Maxillo-facial and Oral Surgery R 268.66

9524 Indirect composite resin inlay 54 General Dental Practice R 268.66

9525 Class IV MO or DO cast indirect 94 Prosthodontic R 817.76

9525 Class IV MO or DO cast indirect 93 Dental Technician R 807.99

9525 Class IV MO or DO cast indirect 92 Periodontics R 817.76

9525 Class IV MO or DO cast indirect 64 Orthodontics R 817.76

9525 Class IV MO or DO cast indirect 62 Maxillo-facial and Oral Surgery R 817.76

9525 Class IV MO or DO cast indirect 54 General Dental Practice R 817.76

9526 Additional fee for one piece casting of crown or inlay












9531 Pin-edge inlay 94 Prosthodontic R 927.19

9531 Pin-edge inlay 93 Dental Technician R 916.07

9531 Pin-edge inlay 92 Periodontics R 927.19

9531 Pin-edge inlay 64 Orthodontics R 927.19

9531 Pin-edge inlay 62 Maxillo-facial and Oral Surgery R 927.19

9531 Pin-edge inlay 54 General Dental Practice R 927.19

9533 Occlusal surface pontic 94 Prosthodontic R 733.37

9533 Occlusal surface pontic 93 Dental Technician R 724.38

9533 Occlusal surface pontic 92 Periodontics R 733.37

9533 Occlusal surface pontic 64 Orthodontics R 733.37

9533 Occlusal surface pontic 62 Maxillo-facial and Oral Surgery R 733.37

Page 80 of 109

9533 Occlusal surface pontic 54 General Dental Practice R 733.37

9535 Copint cast 94 Prosthodontic R 687.20

9535 Copint cast 93 Dental Technician R 678.99

9535 Copint cast 92 Periodontics R 687.20

9535 Copint cast 64 Orthodontics R 687.20

9535 Copint cast 62 Maxillo-facial and Oral Surgery R 687.20

9535 Copint cast 54 General Dental Practice R 687.20

9537 Precision lock and rest cast incorp. pre-formed part












9538 Lock and rest cast 94 Prosthodontic R 466.41

9538 Lock and rest cast 93 Dental Technician R 460.90

9538 Lock and rest cast 92 Periodontics R 466.41

9538 Lock and rest cast 64 Orthodontics R 466.41

9538 Lock and rest cast 62 Maxillo-facial and Oral Surgery R 466.41

9538 Lock and rest cast 54 General Dental Practice R 466.41

9539 Casting of rest only 94 Prosthodontic R 278.43

9539 Casting of rest only 93 Dental Technician R 274.94

9539 Casting of rest only 92 Periodontics R 278.43

9539 Casting of rest only 64 Orthodontics R 278.43

9539 Casting of rest only 62 Maxillo-facial and Oral Surgery R 278.43

9539 Casting of rest only 54 General Dental Practice R 278.43

9541 Gold inlay or post cast direct 94 Prosthodontic R 295.85

9541 Gold inlay or post cast direct 93 Dental Technician R 292.02

9541 Gold inlay or post cast direct 92 Periodontics R 295.85

Page 81 of 109

9541 Gold inlay or post cast direct 64 Orthodontics R 295.85

9541 Gold inlay or post cast direct 62 Maxillo-facial and Oral Surgery R 295.85

9541 Gold inlay or post cast direct 54 General Dental Practice R 295.85

9543 Gold soldering joint where investing is required












9545 Cast post with thimble indirect 94 Prosthodontic R 489.44

9545 Cast post with thimble indirect 93 Dental Technician R 483.71

9545 Cast post with thimble indirect 92 Periodontics R 489.44

9545 Cast post with thimble indirect 64 Orthodontics R 489.44

9545 Cast post with thimble indirect 62 Maxillo-facial and Oral Surgery R 489.44

9545 Cast post with thimble indirect 54 General Dental Practice R 489.44







9547 Pontic or abutment thimble/Manufacture cast post and

core to existing crown 94 Prosthodontic R 639.11


core to existing crown 93 Dental Technician R 631.58


core to existing crown 92 Periodontics R 639.11


core to existing crown 64 Orthodontics R 639.11

Page 82 of 109


core to existing crown 62 Maxillo-facial and Oral Surgery R 639.11


core to existing crown 54 General Dental Practice R 639.11

9549 CSP attachment (Steiger) 94 Prosthodontic R 2 157.87

9549 CSP attachment (Steiger) 93 Dental Technician R 2 131.69

9549 CSP attachment (Steiger) 92 Periodontics R 2 157.87

9549 CSP attachment (Steiger) 64 Orthodontics R 2 157.87

9549 CSP attachment (Steiger) 62 Maxillo-facial and Oral Surgery R 2 157.87

9549 CSP attachment (Steiger) 54 General Dental Practice R 2 157.87

9550 Milling milled edge per unit 94 Prosthodontic R 687.20

9550 Milling milled edge per unit 93 Dental Technician R 678.99

9550 Milling milled edge per unit 92 Periodontics R 687.20

9550 Milling milled edge per unit 64 Orthodontics R 687.20

9550 Milling milled edge per unit 62 Maxillo-facial and Oral Surgery R 687.20

9550 Milling milled edge per unit 54 General Dental Practice R 687.20

9551 Telescope crown 94 Prosthodontic R 1 693.27

9551 Telescope crown 93 Dental Technician R 1 672.70

9551 Telescope crown 92 Periodontics R 1 693.27

9551 Telescope crown 64 Orthodontics R 1 693.27

9551 Telescope crown 62 Maxillo-facial and Oral Surgery R 1 693.27

9551 Telescope crown 54 General Dental Practice R 1 693.27

9553 Acrylic veneer crown - indirect 94 Prosthodontic R 1 353.38

9553 Acrylic veneer crown - indirect 93 Dental Technician R 1 337.20

9553 Acrylic veneer crown - indirect 92 Periodontics R 1 353.38

9553 Acrylic veneer crown - indirect 64 Orthodontics R 1 353.38

9553 Acrylic veneer crown - indirect 62 Maxillo-facial and Oral Surgery R 1 353.38

9553 Acrylic veneer crown - indirect 54 General Dental Practice R 1 353.38

9557 Acrylic jacket crown - indirect 94 Prosthodontic R 955.96

9557 Acrylic jacket crown - indirect 93 Dental Technician R 944.61

9557 Acrylic jacket crown - indirect 92 Periodontics R 955.96

9557 Acrylic jacket crown - indirect 64 Orthodontics R 955.96

9557 Acrylic jacket crown - indirect 62 Maxillo-facial and Oral Surgery R 955.96

Page 83 of 109

9557 Acrylic jacket crown - indirect 54 General Dental Practice R 955.96

9559 Acrylic veneer post crown 94 Prosthodontic R 1 337.99

9559 Acrylic veneer post crown 93 Dental Technician R 1 321.92

9559 Acrylic veneer post crown 92 Periodontics R 1 337.99

9559 Acrylic veneer post crown 64 Orthodontics R 1 337.99

9559 Acrylic veneer post crown 62 Maxillo-facial and Oral Surgery R 1 337.99

9559 Acrylic veneer post crown 54 General Dental Practice R 1 337.99

9560 Indirect composite resin veneer 94 Prosthodontic R 566.41

9560 Indirect composite resin veneer 93 Dental Technician R 559.55

9560 Indirect composite resin veneer 92 Periodontics R 566.41

9560 Indirect composite resin veneer 64 Orthodontics R 566.41

9560 Indirect composite resin veneer 62 Maxillo-facial and Oral Surgery R 566.41

9560 Indirect composite resin veneer 54 General Dental Practice R 566.41

9561 Acrylic jacket crown - direct 94 Prosthodontic R 652.70

9561 Acrylic jacket crown - direct 93 Dental Technician R 644.83

9561 Acrylic jacket crown - direct 92 Periodontics R 652.70

9561 Acrylic jacket crown - direct 64 Orthodontics R 652.70

9561 Acrylic jacket crown - direct 62 Maxillo-facial and Oral Surgery R 652.70

9561 Acrylic jacket crown - direct 54 General Dental Practice R 652.70

9562 Silicoating (per unit) 94 Prosthodontic R 0.00

9562 Silicoating (per unit) 93 Dental Technician R 0.00

9562 Silicoating (per unit) 62 Maxillo-facial and Oral Surgery R 0.00

9562 Silicoating (per unit) 54 General Dental Practice R 0.00

9563 Temporary acrylic crown cold cured per tooth/pontic










9563 Temporary acrylic crown cold cured per 54 General Dental Practice R 466.41

Page 84 of 109

tooth/pontic

9564 Heat formed template supplied to dentist for the manufacture of temp restorations (incl. material)








9565 Acrylic-facing replaced 94 Prosthodontic R 543.26

9565 Acrylic-facing replaced 93 Dental Technician R 536.74

9565 Acrylic-facing replaced 92 Periodontics R 543.26

9565 Acrylic-facing replaced 64 Orthodontics R 543.26

9565 Acrylic-facing replaced 62 Maxillo-facial and Oral Surgery R 543.26

9565 Acrylic-facing replaced 54 General Dental Practice R 543.26

9566 Porcelian facing replaced 94 Prosthodontic R 984.95

9566 Porcelian facing replaced 93 Dental Technician R 972.92

9566 Porcelian facing replaced 92 Periodontics R 984.95

9566 Porcelian facing replaced 64 Orthodontics R 984.95

9566 Porcelian facing replaced 62 Maxillo-facial and Oral Surgery R 984.95

9566 Porcelian facing replaced 54 General Dental Practice R 984.95

9569 Waxing of crown to existing denture 94 Prosthodontic R 383.83

9569 Waxing of crown to existing denture 93 Dental Technician R 379.22

9569 Waxing of crown to existing denture 92 Periodontics R 383.83

9569 Waxing of crown to existing denture 64 Orthodontics R 383.83

9569 Waxing of crown to existing denture 62 Maxillo-facial and Oral Surgery R 383.83

9569 Waxing of crown to existing denture 54 General Dental Practice R 383.83

9570 Add. fee for each remake at an agreed quantum of time to be calculated at an hourly rate


Page 85 of 109











9571 Basic charge which incl. acrylic base & excl. models












9572 Basic charge for appliance which do not incl. acrylic










9572 Basic charge for appliance which do not incl. 54 General Dental Practice R 234.05

Page 86 of 109

acrylic

9573 Add. charge for fitting 1st expansion screw 94 Prosthodontic R 92.14

9573 Add. charge for fitting 1st expansion screw 93 Dental Technician R 91.13

9573 Add. charge for fitting 1st expansion screw 92 Periodontics R 92.14

9573 Add. charge for fitting 1st expansion screw 64 Orthodontics R 92.14

9573 Add. charge for fitting 1st expansion screw 62 Maxillo-facial and Oral Surgery R 92.14

9573 Add. charge for fitting 1st expansion screw 54 General Dental Practice R 92.14

9575 Add. fee for fitting subsequent expansion screws












9576 Additional fee for full occlusal bite plate 94 Prosthodontic R 272.70

9576 Additional fee for full occlusal bite plate 93 Dental Technician R 269.32

9576 Additional fee for full occlusal bite plate 92 Periodontics R 272.70

9576 Additional fee for full occlusal bite plate 64 Orthodontics R 272.70

9576 Additional fee for full occlusal bite plate 62 Maxillo-facial and Oral Surgery R 272.70

9576 Additional fee for full occlusal bite plate 54 General Dental Practice R 272.70

9577 Additional fee for bite plate 94 Prosthodontic R 92.14

9577 Additional fee for bite plate 93 Dental Technician R 91.13

9577 Additional fee for bite plate 92 Periodontics R 92.14

9577 Additional fee for bite plate 64 Orthodontics R 92.14

9577 Additional fee for bite plate 62 Maxillo-facial and Oral Surgery R 92.14

9577 Additional fee for bite plate 54 General Dental Practice R 92.14

9578 Additional fee for bite plate posterior 94 Prosthodontic R 92.14

9578 Additional fee for bite plate posterior 93 Dental Technician R 91.13

9578 Additional fee for bite plate posterior 92 Periodontics R 92.14

Page 87 of 109

9578 Additional fee for bite plate posterior 64 Orthodontics R 92.14

9578 Additional fee for bite plate posterior 62 Maxillo-facial and Oral Surgery R 92.14

9578 Additional fee for bite plate posterior 54 General Dental Practice R 92.14

9579 Additional fee for fitting tongue guard 94 Prosthodontic R 115.05

9579 Additional fee for fitting tongue guard 93 Dental Technician R 113.82

9579 Additional fee for fitting tongue guard 92 Periodontics R 115.05

9579 Additional fee for fitting tongue guard 64 Orthodontics R 115.05

9579 Additional fee for fitting tongue guard 62 Maxillo-facial and Oral Surgery R 115.05

9579 Additional fee for fitting tongue guard 54 General Dental Practice R 115.05

9581 Additional fee for flat or inclined plane 94 Prosthodontic R 71.13

9581 Additional fee for flat or inclined plane 93 Dental Technician R 70.11

9581 Additional fee for flat or inclined plane 92 Periodontics R 71.13

9581 Additional fee for flat or inclined plane 64 Orthodontics R 71.13

9581 Additional fee for flat or inclined plane 62 Maxillo-facial and Oral Surgery R 71.13

9581 Additional fee for flat or inclined plane 54 General Dental Practice R 71.13

9583 Additional fee for Adams Crib 94 Prosthodontic R 84.61

9583 Additional fee for Adams Crib 93 Dental Technician R 83.49

9583 Additional fee for Adams Crib 92 Periodontics R 84.61

9583 Additional fee for Adams Crib 64 Orthodontics R 84.61

9583 Additional fee for Adams Crib 62 Maxillo-facial and Oral Surgery R 84.61

9583 Additional fee for Adams Crib 54 General Dental Practice R 84.61

9585 Additional fee for Jackson Crib 94 Prosthodontic R 88.32

9585 Additional fee for Jackson Crib 93 Dental Technician R 87.30

9585 Additional fee for Jackson Crib 92 Periodontics R 88.32

9585 Additional fee for Jackson Crib 64 Orthodontics R 88.32

9585 Additional fee for Jackson Crib 62 Maxillo-facial and Oral Surgery R 88.32

9585 Additional fee for Jackson Crib 54 General Dental Practice R 88.32

9587 Additional fee for ball clasp 94 Prosthodontic R 100.00

9587 Additional fee for ball clasp 93 Dental Technician R 98.65

9587 Additional fee for ball clasp 92 Periodontics R 100.00

9587 Additional fee for ball clasp 64 Orthodontics R 100.00

9587 Additional fee for ball clasp 62 Maxillo-facial and Oral Surgery R 100.00

Page 88 of 109

9587 Additional fee for ball clasp 54 General Dental Practice R 100.00

9589 Additional fee for single arm clasp 94 Prosthodontic R 76.74

9589 Additional fee for single arm clasp 93 Dental Technician R 75.84

9589 Additional fee for single arm clasp 92 Periodontics R 76.74

9589 Additional fee for single arm clasp 64 Orthodontics R 76.74

9589 Additional fee for single arm clasp 62 Maxillo-facial and Oral Surgery R 76.74

9589 Additional fee for single arm clasp 54 General Dental Practice R 76.74

9591 Additional fee for double arm clasp 94 Prosthodontic R 134.61

9591 Additional fee for double arm clasp 93 Dental Technician R 132.70

9591 Additional fee for double arm clasp 92 Periodontics R 134.61

9591 Additional fee for double arm clasp 64 Orthodontics R 134.61

9591 Additional fee for double arm clasp 62 Maxillo-facial and Oral Surgery R 134.61

9591 Additional fee for double arm clasp 54 General Dental Practice R 134.61

9593 Additional fee for fitting single loop finger spring












9595 Additional fee for fitting double loop finger spring










Page 89 of 109



9597 Additional fee for fitting buccal retraction spring












9599 Additional fee for fitting apron spring 94 Prosthodontic R 143.94

9599 Additional fee for fitting apron spring 93 Dental Technician R 142.25

9599 Additional fee for fitting apron spring 92 Periodontics R 143.94

9599 Additional fee for fitting apron spring 64 Orthodontics R 143.94

9599 Additional fee for fitting apron spring 62 Maxillo-facial and Oral Surgery R 143.94

9599 Additional fee for fitting apron spring 54 General Dental Practice R 143.94

9603 Additional fee for fitting coffin spring 94 Prosthodontic R 138.09

9603 Additional fee for fitting coffin spring 93 Dental Technician R 136.63

9603 Additional fee for fitting coffin spring 92 Periodontics R 138.09

9603 Additional fee for fitting coffin spring 64 Orthodontics R 138.09

9603 Additional fee for fitting coffin spring 62 Maxillo-facial and Oral Surgery R 138.09

9603 Additional fee for fitting coffin spring 54 General Dental Practice R 138.09

9605 Additional fee for fitting helicol or bakooka spring










Page 90 of 109



9607 Additional fee for fitting flapper or "T" spring 94 Prosthodontic R 115.05

9607 Additional fee for fitting flapper or "T" spring 93 Dental Technician R 113.82

9607 Additional fee for fitting flapper or "T" spring 92 Periodontics R 115.05

9607 Additional fee for fitting flapper or "T" spring 64 Orthodontics R 115.05

9607 Additional fee for fitting flapper or "T" spring 62 Maxillo-facial and Oral Surgery R 115.05

9607 Additional fee for fitting flapper or "T" spring 54 General Dental Practice R 115.05

9609 Add. fee for fitting all springs with tubing each 94 Prosthodontic R 128.65

9609 Add. fee for fitting all springs with tubing each 93 Dental Technician R 127.08

9609 Add. fee for fitting all springs with tubing each 92 Periodontics R 128.65

9609 Add. fee for fitting all springs with tubing each 64 Orthodontics R 128.65

9609 Add. fee for fitting all springs with tubing each 62 Maxillo-facial and Oral Surgery R 128.65

9609 Add. fee for fitting all springs with tubing each 54 General Dental Practice R 128.65

9611 Additional fee for fitting labial arch 94 Prosthodontic R 72.92

9611 Additional fee for fitting labial arch 93 Dental Technician R 72.03

9611 Additional fee for fitting labial arch 92 Periodontics R 72.92

9611 Additional fee for fitting labial arch 64 Orthodontics R 72.92

9611 Additional fee for fitting labial arch 62 Maxillo-facial and Oral Surgery R 72.92

9611 Additional fee for fitting labial arch 54 General Dental Practice R 72.92

9613 Additional fee for fitting buccal arch 94 Prosthodontic R 86.52

9613 Additional fee for fitting buccal arch 93 Dental Technician R 85.39

9613 Additional fee for fitting buccal arch 92 Periodontics R 86.52

9613 Additional fee for fitting buccal arch 64 Orthodontics R 86.52

9613 Additional fee for fitting buccal arch 62 Maxillo-facial and Oral Surgery R 86.52

9613 Additional fee for fitting buccal arch 54 General Dental Practice R 86.52

9615 Additional fee for fitting Roberts retractor 94 Prosthodontic R 161.24

9615 Additional fee for fitting Roberts retractor 93 Dental Technician R 159.33

9615 Additional fee for fitting Roberts retractor 92 Periodontics R 161.24

9615 Additional fee for fitting Roberts retractor 64 Orthodontics R 161.24

9615 Additional fee for fitting Roberts retractor 62 Maxillo-facial and Oral Surgery R 161.24

9615 Additional fee for fitting Roberts retractor 54 General Dental Practice R 161.24

Page 91 of 109

9617 Invisible Retainer 94 Prosthodontic R 213.14

9617 Invisible Retainer 93 Dental Technician R 210.56

9617 Invisible Retainer 92 Periodontics R 213.14

9617 Invisible Retainer 64 Orthodontics R 213.14

9617 Invisible Retainer 62 Maxillo-facial and Oral Surgery R 213.14

9617 Invisible Retainer 54 General Dental Practice R 213.14

9619 Additional fee for fitting twin wire arch 94 Prosthodontic R 201.69

9619 Additional fee for fitting twin wire arch 93 Dental Technician R 199.10

9619 Additional fee for fitting twin wire arch 92 Periodontics R 201.69

9619 Additional fee for fitting twin wire arch 64 Orthodontics R 201.69

9619 Additional fee for fitting twin wire arch 62 Maxillo-facial and Oral Surgery R 201.69

9619 Additional fee for fitting twin wire arch 54 General Dental Practice R 201.69

9620 Additional fee Lip bumper 94 Prosthodontic R 84.61

9620 Additional fee Lip bumper 93 Dental Technician R 83.49

9620 Additional fee Lip bumper 92 Periodontics R 84.61

9620 Additional fee Lip bumper 64 Orthodontics R 84.61

9620 Additional fee Lip bumper 62 Maxillo-facial and Oral Surgery R 84.61

9620 Additional fee Lip bumper 54 General Dental Practice R 84.61

9621 Additional fee for fitting extra-oral arch 94 Prosthodontic R 192.02

9621 Additional fee for fitting extra-oral arch 93 Dental Technician R 189.77

9621 Additional fee for fitting extra-oral arch 92 Periodontics R 192.02

9621 Additional fee for fitting extra-oral arch 64 Orthodontics R 192.02

9621 Additional fee for fitting extra-oral arch 62 Maxillo-facial and Oral Surgery R 192.02

9621 Additional fee for fitting extra-oral arch 54 General Dental Practice R 192.02

9622 Additional fee for fitting space maintainer arch








9623 Additional fee for each spot-welded joint. 94 Prosthodontic R 38.32

Page 92 of 109

9623 Additional fee for each spot-welded joint. 93 Dental Technician R 37.86

9623 Additional fee for each spot-welded joint. 92 Periodontics R 38.32

9623 Additional fee for each spot-welded joint. 64 Orthodontics R 38.32

9623 Additional fee for each spot-welded joint. 62 Maxillo-facial and Oral Surgery R 38.32

9623 Additional fee for each spot-welded joint. 54 General Dental Practice R 38.32

9625 Additional fee for each soldering joint. 94 Prosthodontic R 61.35

9625 Additional fee for each soldering joint. 93 Dental Technician R 60.67

9625 Additional fee for each soldering joint. 92 Periodontics R 61.35

9625 Additional fee for each soldering joint. 64 Orthodontics R 61.35

9625 Additional fee for each soldering joint. 62 Maxillo-facial and Oral Surgery R 61.35

9625 Additional fee for each soldering joint. 54 General Dental Practice R 61.35

9627 Additional fee for each invested soldering joint












9629 Additional fee for each hook for elastic traction












9631 Mouth protector 94 Prosthodontic R 360.90

Page 93 of 109

9631 Mouth protector 93 Dental Technician R 356.52

9631 Mouth protector 92 Periodontics R 360.90

9631 Mouth protector 64 Orthodontics R 360.90

9631 Mouth protector 62 Maxillo-facial and Oral Surgery R 360.90

9631 Mouth protector 54 General Dental Practice R 360.90

9633 Oral screen 94 Prosthodontic R 443.60

9633 Oral screen 93 Dental Technician R 437.98

9633 Oral screen 92 Periodontics R 443.60

9633 Oral screen 64 Orthodontics R 443.60

9633 Oral screen 62 Maxillo-facial and Oral Surgery R 443.60

9633 Oral screen 54 General Dental Practice R 443.60

9635 Andersen of Norwegian appliance 94 Prosthodontic R 793.04

9635 Andersen of Norwegian appliance 93 Dental Technician R 783.37

9635 Andersen of Norwegian appliance 92 Periodontics R 793.04

9635 Andersen of Norwegian appliance 64 Orthodontics R 793.04

9635 Andersen of Norwegian appliance 62 Maxillo-facial and Oral Surgery R 793.04

9635 Andersen of Norwegian appliance 54 General Dental Practice R 793.04

9637 Tooth positioner 94 Prosthodontic R 914.05

9637 Tooth positioner 93 Dental Technician R 902.70

9637 Tooth positioner 92 Periodontics R 914.05

9637 Tooth positioner 64 Orthodontics R 914.05

9637 Tooth positioner 62 Maxillo-facial and Oral Surgery R 914.05

9637 Tooth positioner 54 General Dental Practice R 914.05

9639 Gunning splint (excluding cost of material) 93 Dental Technician R 1 202.47

9639 Gunning splint (excluding cost of material) 62 Maxillo-facial and Oral Surgery R 1 217.08

9639 Gunning splint (excluding cost of material) 54 General Dental Practice R 1 217.08

9641 Frankel appliance 94 Prosthodontic R 1 174.84

9641 Frankel appliance 93 Dental Technician R 1 160.80

9641 Frankel appliance 92 Periodontics R 1 174.84

9641 Frankel appliance 64 Orthodontics R 1 174.84

9641 Frankel appliance 62 Maxillo-facial and Oral Surgery R 1 174.84

9641 Frankel appliance 54 General Dental Practice R 1 174.84

Page 94 of 109

9643 Chin cap 94 Prosthodontic R 389.67

9643 Chin cap 93 Dental Technician R 384.95

9643 Chin cap 92 Periodontics R 389.67

9643 Chin cap 64 Orthodontics R 389.67

9643 Chin cap 62 Maxillo-facial and Oral Surgery R 389.67

9643 Chin cap 54 General Dental Practice R 389.67

9645 Bionator 94 Prosthodontic R 794.95

9645 Bionator 93 Dental Technician R 785.17

9645 Bionator 92 Periodontics R 794.95

9645 Bionator 64 Orthodontics R 794.95

9645 Bionator 62 Maxillo-facial and Oral Surgery R 794.95

9645 Bionator 54 General Dental Practice R 794.95

9646 Diagnostic set-up 94 Prosthodontic R 764.27

9646 Diagnostic set-up 93 Dental Technician R 754.84

9646 Diagnostic set-up 92 Periodontics R 764.27

9646 Diagnostic set-up 64 Orthodontics R 764.27

9646 Diagnostic set-up 62 Maxillo-facial and Oral Surgery R 764.27

9646 Diagnostic set-up 54 General Dental Practice R 764.27

9647 Snoring Appliance 94 Prosthodontic R 721.91

9647 Snoring Appliance 93 Dental Technician R 713.15

9647 Snoring Appliance 62 Maxillo-facial and Oral Surgery R 721.91

9647 Snoring Appliance 54 General Dental Practice R 721.91

9651 Pinched or swaged bank with welded attachment












Page 95 of 109

9653 Pinched or swaged band with soldered attachment












9662 Additional fee for each remake at an agreed quantum of time to be calculated at the hourly rate












9700 Diatorics 1 x 6/8 1998 94 Prosthodontic R 0.00

9700 Diatorics 1 x 6/8 1998 93 Dental Technician R 189.77

9700 Diatorics 1 x 6/8 1998 92 Periodontics R 0.00

9700 Diatorics 1 x 6/8 1998 64 Orthodontics R 0.00

9700 Diatorics 1 x 6/8 1998 62 Maxillo-facial and Oral Surgery R 0.00

9700 Diatorics 1 x 6/8 1998 54 General Dental Practice R 0.00

9702 Diatorics - odds- anterior 1998 94 Prosthodontic R 0.00

Page 96 of 109

9702 Diatorics - odds- anterior 1998 93 Dental Technician R 64.61

9702 Diatorics - odds- anterior 1998 92 Periodontics R 0.00

9702 Diatorics - odds- anterior 1998 64 Orthodontics R 0.00

9702 Diatorics - odds- anterior 1998 62 Maxillo-facial and Oral Surgery R 0.00

9702 Diatorics - odds- anterior 1998 54 General Dental Practice R 0.00

9704 Diatorics- odds- posterior 1998 94 Prosthodontic R 0.00

9704 Diatorics- odds- posterior 1998 93 Dental Technician R 64.61

9704 Diatorics- odds- posterior 1998 92 Periodontics R 0.00

9704 Diatorics- odds- posterior 1998 64 Orthodontics R 0.00

9704 Diatorics- odds- posterior 1998 62 Maxillo-facial and Oral Surgery R 0.00

9704 Diatorics- odds- posterior 1998 54 General Dental Practice R 0.00

9706 Cost of Bleaching Tray material 94 Prosthodontic R 0.00

9706 Cost of Bleaching Tray material 93 Dental Technician R 0.00

9706 Cost of Bleaching Tray material 92 Periodontics R 0.00

9706 Cost of Bleaching Tray material 62 Maxillo-facial and Oral Surgery R 0.00

9706 Cost of Bleaching Tray material 54 General Dental Practice R 0.00

9720 Soft base material per denture 94 Prosthodontic R 0.00

9720 Soft base material per denture 93 Dental Technician R 686.40

9720 Soft base material per denture 92 Periodontics R 0.00

9720 Soft base material per denture 64 Orthodontics R 0.00

9720 Soft base material per denture 62 Maxillo-facial and Oral Surgery R 0.00

9720 Soft base material per denture 54 General Dental Practice R 0.00

9722 High impact acrylic per denture 1998 94 Prosthodontic R 0.00

9722 High impact acrylic per denture 1998 93 Dental Technician R 77.65

9722 High impact acrylic per denture 1998 92 Periodontics R 0.00

9722 High impact acrylic per denture 1998 64 Orthodontics R 0.00

9722 High impact acrylic per denture 1998 62 Maxillo-facial and Oral Surgery R 0.00

9722 High impact acrylic per denture 1998 54 General Dental Practice R 0.00

9724 Cost of Precision attachment. Per attachment. 1998 94 Prosthodontic R 0.00

9724 Cost of Precision attachment. Per attachment. 1998 93 Dental Technician R 0.00

9724 Cost of Precision attachment. Per attachment. 1998 92 Periodontics R 0.00

9724 Cost of Precision attachment. Per attachment. 1998 64 Orthodontics R 0.00

Page 97 of 109

9724 Cost of Precision attachment. Per attachment. 1998 62 Maxillo-facial and Oral Surgery R 0.00

9724 Cost of Precision attachment. Per attachment. 1998 54 General Dental Practice R 0.00

9726 Preformed Ball or roach clasp 1998 94 Prosthodontic R 0.00

9726 Preformed Ball or roach clasp 1998 93 Dental Technician R 13.37

9726 Preformed Ball or roach clasp 1998 92 Periodontics R 0.00

9726 Preformed Ball or roach clasp 1998 64 Orthodontics R 0.00

9726 Preformed Ball or roach clasp 1998 62 Maxillo-facial and Oral Surgery R 0.00

9726 Preformed Ball or roach clasp 1998 54 General Dental Practice R 0.00

9728 Cost of lingual I palatal bar 1998 94 Prosthodontic R 0.00

9728 Cost of lingual I palatal bar 1998 93 Dental Technician R 155.40

9728 Cost of lingual I palatal bar 1998 92 Periodontics R 0.00

9728 Cost of lingual I palatal bar 1998 64 Orthodontics R 0.00

9728 Cost of lingual I palatal bar 1998 62 Maxillo-facial and Oral Surgery R 0.00

9728 Cost of lingual I palatal bar 1998 54 General Dental Practice R 0.00

9729 Cost of mesh strengthener 1998 94 Prosthodontic R 0.00

9729 Cost of mesh strengthener 1998 93 Dental Technician R 81.46

9729 Cost of mesh strengthener 1998 92 Periodontics R 0.00

9729 Cost of mesh strengthener 1998 64 Orthodontics R 0.00

9729 Cost of mesh strengthener 1998 62 Maxillo-facial and Oral Surgery R 0.00

9729 Cost of mesh strengthener 1998 54 General Dental Practice R 0.00

9730 Cost of pre-fabricated burn-out component- per compo

1998 94 Prosthodontic R 0.00


1998 93 Dental Technician R 0.00


1998 92 Periodontics R 0.00


1998 64 Orthodontics R 0.00


1998 62 Maxillo-facial and Oral Surgery R 0.00


1998 54 General Dental Practice R 0.00

9732 Cost of other attachment components e.g. nylon caps-


Page 98 of 109







9734 Cost of dolder bar and clips- per gram or per clip -








9736 Cost of implant components s- per gram or per clip -








9738 Cost of preformed strengthener per gram or per clip -












9739 Additional charge gold plating 94 Prosthodontic R 0.00

9739 Additional charge gold plating 93 Dental Technician R 0.00

9739 Additional charge gold plating 92 Periodontics R 0.00

Page 99 of 109

9739 Additional charge gold plating 64 Orthodontics R 0.00

9739 Additional charge gold plating 62 Maxillo-facial and Oral Surgery R 0.00

9739 Additional charge gold plating 54 General Dental Practice R 0.00

9740 Cost of gold wire- per gram per gram or per clip -












9741 Cost of Cobalt Chrome casting alloy am or per clip -












9742 Cost of specialised Cobalt Chrome casting metal- e.g.










Page 100 of 109



9744 Cost of precious casting alloy me casting metal- e.g.












9746 Cost of semi-precious casting alloy sting metal- e.g.












9748 Cost of non-precious casting alloy sting metal- e.g.












Page 101 of 109

9752 Cost of platinum foil asting alloy sting metal- e.g












9754 Cost of gold solder- per gram lloy sting metal- e.g












9755 Etching for bonding (metal or ceramic) 94 Prosthodontic R 0.00

9755 Etching for bonding (metal or ceramic) 93 Dental Technician R 0.00

9755 Etching for bonding (metal or ceramic) 92 Periodontics R 0.00

9755 Etching for bonding (metal or ceramic) 64 Orthodontics R 0.00

9755 Etching for bonding (metal or ceramic) 62 Maxillo-facial and Oral Surgery R 0.00

9755 Etching for bonding (metal or ceramic) 54 General Dental Practice R 0.00

9756 Cost of silver solder- per gram oy sting metal- e.g






9756 Cost of silver solder- per gram oy sting metal- 1998 64 Orthodontics R 0.00

Page 102 of 109

e.g





9757 Ceromer material - per unit 94 Prosthodontic R 0.00

9757 Ceromer material - per unit 93 Dental Technician R 969.11

9757 Ceromer material - per unit 92 Periodontics R 0.00

9757 Ceromer material - per unit 64 Orthodontics R 0.00

9757 Ceromer material - per unit 62 Maxillo-facial and Oral Surgery R 0.00

9757 Ceromer material - per unit 54 General Dental Practice R 0.00

9758 Fiber re-enforced materual (per unit) 94 Prosthodontic R 0.00

9758 Fiber re-enforced materual (per unit) 93 Dental Technician R 0.00

9758 Fiber re-enforced materual (per unit) 64 Orthodontics R 0.00

9758 Fiber re-enforced materual (per unit) 62 Maxillo-facial and Oral Surgery R 0.00

9758 Fiber re-enforced materual (per unit) 54 General Dental Practice R 0.00

9759 Fiber re-enforced bridge material (per unit) 93 Dental Technician R 0.00

9759 Fiber re-enforced bridge material (per unit) 64 Orthodontics R 0.00

9759 Fiber re-enforced bridge material (per unit) 62 Maxillo-facial and Oral Surgery R 0.00

9759 Fiber re-enforced bridge material (per unit) 54 General Dental Practice R 0.00

9760 Composite restoration material oy sting metal- e.g












9761 Ceramic material 94 Prosthodontic R 0.00

9761 Ceramic material 93 Dental Technician R 0.00

Page 103 of 109

9761 Ceramic material 92 Periodontics R 0.00

9761 Ceramic material 64 Orthodontics R 0.00

9761 Ceramic material 62 Maxillo-facial and Oral Surgery R 0.00

9761 Ceramic material 54 General Dental Practice R 0.00

9762 Cost of anterior orthodontic attachment - per attach 1998












9763 Orthodontic Material 94 Prosthodontic R 0.00

9763 Orthodontic Material 93 Dental Technician R 28.43

9763 Orthodontic Material 92 Periodontics R 0.00

9763 Orthodontic Material 64 Orthodontics R 0.00

9763 Orthodontic Material 62 Maxillo-facial and Oral Surgery R 0.00

9763 Orthodontic Material 54 General Dental Practice R 0.00

9764 Cost of posterior orthodontic attachment- per attach












9765 Preformed Components 94 Prosthodontic R 0.00

9765 Preformed Components 93 Dental Technician R 15.17

Page 104 of 109

9765 Preformed Components 92 Periodontics R 0.00

9765 Preformed Components 64 Orthodontics R 0.00

9765 Preformed Components 62 Maxillo-facial and Oral Surgery R 0.00

9765 Preformed Components 54 General Dental Practice R 0.00

9766 Cost of expansion screw- per screw hment- per attach












9767 Soldering Material 94 Prosthodontic R 0.00

9767 Soldering Material 93 Dental Technician R 7.64

9767 Soldering Material 92 Periodontics R 0.00

9767 Soldering Material 64 Orthodontics R 0.00

9767 Soldering Material 62 Maxillo-facial and Oral Surgery R 0.00

9767 Soldering Material 54 General Dental Practice R 0.00

9768 Cost of buccle tube- per tube crew hment- per attach












9770 Cost of J-hook- per hook tube crew hment- per attach


Page 105 of 109











9772 Cost of lingual buttons- per button ment- per attach












9774 Cost of Invisible retainer material ment- per attach












9775 R/A Case - Orthodontic Services 93 Dental Technician R 0.00

9775 R/A Case - Orthodontic Services 64 Orthodontics R 0.00

9775 R/A Case - Orthodontic Services 62 Maxillo-facial and Oral Surgery R 0.00

Page 106 of 109

9775 R/A Case - Orthodontic Services 54 General Dental Practice R 0.00

9776 Cost of mouth protector material al ment- per attach












9778 Cost of TMA arch wire r material al ment- per attach












9779 Durasoft Material 93 Dental Technician R 0.00

9779 Durasoft Material 64 Orthodontics R 0.00

9779 Durasoft Material 62 Maxillo-facial and Oral Surgery R 0.00

9779 Durasoft Material 54 General Dental Practice R 0.00

9780 Positioning and finishing of complete (male and fema








Page 107 of 109





9782 Positioning and soldering of complete ( male and fem












9783 Implant stent per unit 94 Prosthodontic R 466.41

9783 Implant stent per unit 93 Dental Technician R 460.90

9783 Implant stent per unit 92 Periodontics R 466.41

9783 Implant stent per unit 64 Orthodontics R 466.41

9783 Implant stent per unit 62 Maxillo-facial and Oral Surgery R 466.41

9783 Implant stent per unit 54 General Dental Practice R 466.41

9784 Allignment of dolder bar and clips te ( male and fem












9786 Waxing and finishing of implant abutment - crown and


9786 Waxing and finishing of implant abutment - 1998 93 Dental Technician R 271.23

Page 108 of 109

crown and









9787 Waxing milling and finishing of custom abutment












9788 Implant superstructure incl. Placing of preformed pa

1998 94 Prosthodontic R 2 927.76


1998 93 Dental Technician R 2 892.26


1998 92 Periodontics R 2 927.76


1998 64 Orthodontics R 2 927.76


1998 62 Maxillo-facial and Oral Surgery R 2 927.76


1998 54 General Dental Practice R 2 927.76

9789 Finishing of prosthesis on implant structure 94 Prosthodontic R 1 069.33

9789 Finishing of prosthesis on implant structure 93 Dental Technician R 1 056.41

9789 Finishing of prosthesis on implant structure 92 Periodontics R 1 069.33

9789 Finishing of prosthesis on implant structure 64 Orthodontics R 1 069.33

Page 109 of 109

9789 Finishing of prosthesis on implant structure 62 Maxillo-facial and Oral Surgery R 1 069.33

9789 Finishing of prosthesis on implant structure 54 General Dental Practice R 1 069.33

99929 Ex-Gratia Specialised Dentistry 64 Orthodontics R 0.00

99929 Ex-Gratia Specialised Dentistry 62 Maxillo-facial and Oral Surgery R 0.00

99929 Ex-Gratia Specialised Dentistry 54 General Dental Practice R 0.00

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